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 $91.20 / $117.49 / $2,884.03	Facility	26	$91.20	$117.49	$2,884.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $436.52 / $912.01	Professional		$354.81	$436.52	$912.01
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $104.71 / $239.88	Professional	26	$79.43	$104.71	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $331.13 / $645.65	Professional	TC	$269.15	$331.13	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $457.09 / $549.54	Professional		$363.08	$457.09	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $446.68 / $794.33	Professional		$380.19	$446.68	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $87.10 / $162.18	Professional	26	$70.79	$87.10	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $354.81 / $630.96	Professional	TC	$302.00	$354.81	$630.96
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $478.63 / $602.56	Professional		$123.03	$478.63	$602.56
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $95.50 / $134.90	Facility	26	$20.42	$95.50	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $602.56 / $1,621.81	Professional		$331.13	$602.56	$1,621.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $128.82 / $309.03	Professional	26	$69.18	$128.82	$309.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $501.19 / $1,288.25	Professional	TC	$251.19	$501.19	$1,288.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $741.31 / $1,000.00	Professional		$512.86	$741.31	$1,000.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $186.21	Professional	26	$89.13	$131.83	$186.21
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $616.60 / $812.83	Professional	TC	$426.58	$616.60	$812.83
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $436.52 / $933.25	Professional		$302.00	$436.52	$933.25
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $87.10 / $181.97	Professional	26	$67.61	$87.10	$181.97
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $354.81 / $758.58	Professional	TC	$245.47	$354.81	$758.58
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $102.33 / $181.97	Professional	26	$100.00	$102.33	$181.97
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $575.44 / $1,148.15	Professional		$478.63	$575.44	$1,148.15
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $123.03 / $223.87	Professional	26	$100.00	$123.03	$223.87
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $467.74 / $933.25	Professional	TC	$371.54	$467.74	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $630.96 / $1,230.27	Professional		$354.81	$630.96	$1,230.27
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $123.03 / $354.81	Professional	26	$77.62	$123.03	$354.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $537.03 / $954.99	Professional	TC	$295.12	$537.03	$954.99
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $100.00 / $302.00	Facility	26	$69.18	$100.00	$302.00
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $1,071.52	Professional		$346.74	$467.74	$1,071.52
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $100.00 / $234.42	Professional	26	$69.18	$100.00	$234.42
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $380.19 / $851.14	Professional	TC	$281.84	$380.19	$851.14

New York rates for HCPCS 95813