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 $12.02 / $16.98 / $25.12	Facility	26	$12.02	$16.98	$25.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $95.50	Professional		$36.31	$41.69	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $12.02 / $26.30	Professional	26	$10.72	$12.02	$26.30
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.84 / $58.88	Professional	TC	$23.99	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $75.86	Professional		$32.36	$38.02	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $11.48 / $21.38	Professional	26	$9.77	$11.48	$21.38
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $26.30 / $52.48	Professional	TC	$22.39	$26.30	$52.48
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $39.81 / $57.54	Professional		$17.78	$39.81	$57.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $60.26 / $144.54	Professional		$43.65	$60.26	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $17.78 / $39.81	Professional	26	$12.30	$17.78	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $43.65 / $102.33	Professional	TC	$30.20	$43.65	$102.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $72.44 / $100.00	Professional		$54.95	$72.44	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $18.20 / $25.70	Professional	26	$13.80	$18.20	$25.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $56.23 / $79.43	Professional	TC	$41.69	$56.23	$79.43
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $11.48 / $11.48	Facility	26	$11.48	$11.48	$11.48
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $54.95 / $93.33	Professional		$30.90	$54.95	$93.33
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $15.14 / $25.70	Professional	26	$9.33	$15.14	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $39.81 / $67.61	Professional	TC	$21.88	$39.81	$67.61
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $15.49 / $15.49	Professional	26	$15.49	$15.49	$15.49
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $57.54 / $114.82	Professional		$46.77	$57.54	$114.82
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $17.38 / $32.36	Professional	26	$14.45	$17.38	$32.36
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $40.74 / $83.18	Professional	TC	$32.36	$40.74	$83.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $70.79 / $288.40	Professional		$42.66	$70.79	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $18.62 / $81.28	Professional	26	$11.75	$18.62	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $52.48 / $208.93	Professional	TC	$31.62	$52.48	$208.93
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $15.14 / $23.99	Facility	26	$8.71	$15.14	$23.99
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $54.95 / $104.71	Professional		$30.90	$54.95	$104.71
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $15.14 / $30.20	Professional	26	$9.33	$15.14	$30.20
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $39.81 / $72.44	Professional	TC	$21.88	$39.81	$72.44

New York rates for HCPCS 94728