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 Typical Low / Median / Typical High $158.49 / $741.31 / $5,370.32	Facility		$158.49	$741.31	$5,370.32
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $43.65 / $56.23 / $109.65	Facility	26	$43.65	$56.23	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $190.55 / $436.52	Professional		$147.91	$190.55	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $54.95 / $125.89	Professional	26	$38.02	$54.95	$125.89
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $169.82 / $208.93 / $223.87	Professional	52	$169.82	$208.93	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $138.04 / $263.03	Professional	TC	$104.71	$138.04	$263.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $134.90 / $141.25	Professional		$104.71	$134.90	$141.25
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $15.14 / $41.69	Professional	26	$15.14	$15.14	$41.69
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $26.30 / $33.88 / $33.88	Professional	52	$26.30	$33.88	$33.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	TC	$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $239.88 / $323.59	Professional		$190.55	$239.88	$323.59
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $57.54 / $89.13	Professional	26	$47.86	$57.54	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $181.97 / $234.42	Professional	TC	$144.54	$181.97	$234.42
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $173.78	Facility		$58.88	$58.88	$173.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $173.78 / $234.42	Professional		$58.88	$173.78	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $5,754.40 / $6,309.57	Facility		$251.19	$5,754.40	$6,309.57
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $43.65 / $63.10	Facility	26	$9.55	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $269.15 / $588.84	Professional		$131.83	$269.15	$588.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $74.13 / $151.36	Professional	26	$37.15	$74.13	$151.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $204.17 / $416.87	Professional	TC	$97.72	$204.17	$416.87
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $134.90 / $380.19	Facility		$91.20	$134.90	$380.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $218.78 / $295.12	Professional		$147.91	$218.78	$295.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $57.54 / $81.28	Professional	26	$38.90	$57.54	$81.28
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $162.18 / $213.80	Professional	TC	$112.20	$162.18	$213.80
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $158.49 / $288.40	Professional		$117.49	$158.49	$288.40
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $48.98 / $85.11	Professional	26	$32.36	$48.98	$85.11
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $112.20 / $204.17	Professional	TC	$70.79	$112.20	$204.17
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $44.67 / $56.23	Professional	26	$38.90	$44.67	$56.23
Fidelis Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	52	$60.26	$60.26	$60.26
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $724.44 / $758.58	Facility		$181.97	$724.44	$758.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $186.21	Professional		$120.23	$186.21	$186.21
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $48.98 / $60.26	Professional	26	$36.31	$48.98	$60.26
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	52	$93.33	$93.33	$93.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $138.04 / $138.04	Professional	TC	$134.90	$138.04	$138.04
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $50,118.72 / $75,857.76	Facility		$181.97	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $229.09 / $380.19	Professional		$190.55	$229.09	$380.19
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $57.54 / $109.65	Professional	26	$46.77	$57.54	$109.65
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $169.82 / $275.42	Professional	TC	$141.25	$169.82	$275.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $501.19 / $616.60	Facility		$302.00	$501.19	$616.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $204.17 / $602.56	Professional		$138.04	$204.17	$602.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $54.95 / $158.49	Professional	26	$36.31	$54.95	$158.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $151.36 / $512.86	Professional	TC	$102.33	$151.36	$512.86
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $436.52	Facility		$109.65	$158.49	$436.52
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $45.71 / $125.89	Facility	26	$32.36	$45.71	$125.89
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $380.19	Professional		$109.65	$158.49	$380.19
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $48.98 / $109.65	Professional	26	$32.36	$48.98	$109.65
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $112.20 / $269.15	Professional	TC	$77.62	$112.20	$269.15

New York rates for HCPCS 95800