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 $107.15 / $154.88 / $295.12	Facility	26	$107.15	$154.88	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $776.25 / $1,548.82	Professional		$588.84	$776.25	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $181.97 / $380.19	Professional	26	$114.82	$181.97	$380.19
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $190.55 / $257.04 / $1,258.93	Professional	52	$190.55	$257.04	$1,258.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $588.84 / $1,122.02	Professional	TC	$467.74	$588.84	$1,122.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $537.03 / $676.08	Professional		$416.87	$537.03	$676.08
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $114.82	Professional	26	$112.20	$112.20	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $489.78 / $1,348.96	Professional		$380.19	$489.78	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $87.10 / $234.42	Professional	26	$69.18	$87.10	$234.42
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $398.11 / $1,047.13	Professional	TC	$316.23	$398.11	$1,047.13
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $724.44 / $912.01	Professional		$177.83	$724.44	$912.01
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $138.04 / $199.53	Facility	26	$29.51	$138.04	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $1,071.52 / $2,398.83	Professional		$575.44	$1,071.52	$2,398.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $199.53 / $436.52	Professional	26	$100.00	$199.53	$436.52
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $891.25 / $1,995.26	Professional	TC	$436.52	$891.25	$1,995.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $724.44 / $1,412.54	Professional		$512.86	$724.44	$1,412.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $186.21 / $263.03	Professional	26	$131.83	$186.21	$263.03
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $912.01 / $1,202.26	Professional	TC	$645.65	$912.01	$1,202.26
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $794.33 / $1,380.38	Professional		$562.34	$794.33	$1,380.38
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $151.36 / $257.04	Professional	26	$107.15	$151.36	$257.04
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $645.65 / $1,096.48	Professional	TC	$457.09	$645.65	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $724.44 / $724.44	Professional		$707.95	$724.44	$724.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $147.91 / $295.12	Professional	26	$144.54	$147.91	$295.12
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $354.81 / $363.08 / $363.08	Professional	52	$354.81	$363.08	$363.08
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $891.25 / $1,698.24	Professional		$741.31	$891.25	$1,698.24
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $173.78 / $323.59	Professional	26	$141.25	$173.78	$323.59
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $707.95 / $1,380.38	Professional	TC	$588.84	$707.95	$1,380.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $794.33 / $1,949.84	Professional		$512.86	$794.33	$1,949.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $173.78 / $457.09	Professional	26	$112.20	$173.78	$457.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $812.83 / $1,905.46	Professional	TC	$489.78	$812.83	$1,905.46
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $144.54 / $691.83	Facility	26	$100.00	$144.54	$691.83
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $794.33 / $1,819.70	Professional		$524.81	$794.33	$1,819.70
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $151.36 / $346.74	Professional	26	$100.00	$151.36	$346.74
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $645.65 / $1,412.54	Professional	TC	$426.58	$645.65	$1,412.54

New York rates for HCPCS 95811