Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $28.18	Facility	26	$10.47	$14.13	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $66.07 / $173.78	Professional		$48.98	$66.07	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.50 / $50.12	Professional	26	$10.96	$19.50	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $45.71 / $100.00	Professional	TC	$36.31	$45.71	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $60.26 / $77.62	Professional		$50.12	$60.26	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $11.22 / $18.62	Professional	26	$9.12	$11.22	$18.62
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $64.57 / $75.86	Professional	TC	$64.57	$64.57	$75.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $104.71	Professional		$47.86	$56.23	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $11.48 / $21.38	Professional	26	$9.55	$11.48	$21.38
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $44.67 / $79.43	Professional	TC	$38.02	$44.67	$79.43
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $58.88 / $75.86	Professional		$17.38	$58.88	$75.86
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $79.43 / $186.21	Professional		$57.54	$79.43	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $17.38 / $38.02	Professional	26	$12.02	$17.38	$38.02
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $61.66 / $147.91	Professional	TC	$44.67	$61.66	$147.91
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $138.04	Professional		$74.13	$97.72	$138.04
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $25.70	Professional	26	$13.18	$17.78	$25.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $81.28 / $120.23	Professional	TC	$60.26	$81.28	$120.23
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $11.22	Facility	26	$11.22	$11.22	$11.22
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $70.79 / $117.49	Professional		$38.90	$70.79	$117.49
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.79 / $25.12	Professional	26	$8.91	$14.79	$25.12
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $54.95 / $93.33	Professional	TC	$30.20	$54.95	$93.33
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $67.61 / $128.82	Professional		$56.23	$67.61	$128.82
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $15.14 / $23.99	Professional	26	$14.45	$15.14	$23.99
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $74.13 / $147.91	Professional		$61.66	$74.13	$147.91
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $16.98 / $31.62	Professional	26	$13.80	$16.98	$31.62
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $57.54 / $114.82	Professional	TC	$47.86	$57.54	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $91.20 / $371.54	Professional		$54.95	$91.20	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $18.20 / $83.18	Professional	26	$11.22	$18.20	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $72.44 / $288.40	Professional	TC	$44.67	$72.44	$288.40
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $14.79 / $23.99	Facility	26	$8.71	$14.79	$23.99
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $69.18 / $123.03	Professional		$42.66	$69.18	$123.03
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $14.79 / $28.18	Professional	26	$9.12	$14.79	$28.18
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $53.70 / $95.50	Professional	TC	$33.88	$53.70	$95.50

New York rates for HCPCS 94726