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 $50.12 / $67.61 / $151.36	Facility	26	$50.12	$67.61	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $794.33	Professional		$295.12	$398.11	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $66.07 / $154.88	Professional	26	$51.29	$66.07	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $316.23 / $630.96	Professional	TC	$251.19	$316.23	$630.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $407.38 / $436.52	Professional		$354.81	$407.38	$436.52
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $56.23 / $57.54	Professional	26	$53.70	$56.23	$57.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $398.11 / $707.95	Professional		$338.84	$398.11	$707.95
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $57.54 / $104.71	Professional	26	$46.77	$57.54	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $338.84 / $588.84	Professional	TC	$288.40	$338.84	$588.84
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $446.68 / $524.81	Professional		$81.28	$446.68	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $524.81 / $1,348.96	Professional		$275.42	$524.81	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $83.18 / $204.17	Professional	26	$42.66	$83.18	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $446.68 / $1,230.27	Professional	TC	$218.78	$446.68	$1,230.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $645.65 / $851.14	Professional		$436.52	$645.65	$851.14
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $85.11 / $120.23	Professional	26	$57.54	$85.11	$120.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $562.34 / $741.31	Professional	TC	$389.05	$562.34	$741.31
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $371.54 / $831.76	Professional		$269.15	$371.54	$831.76
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $57.54 / $120.23	Professional	26	$44.67	$57.54	$120.23
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $323.59 / $707.95	Professional	TC	$234.42	$323.59	$707.95
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $407.38 / $912.01	Professional		$380.19	$407.38	$912.01
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $64.57 / $120.23	Professional	26	$61.66	$64.57	$120.23
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $512.86 / $1,023.29	Professional		$426.58	$512.86	$1,023.29
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $81.28 / $147.91	Professional	26	$66.07	$81.28	$147.91
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $436.52 / $891.25	Professional	TC	$354.81	$436.52	$891.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $549.54 / $954.99	Professional		$316.23	$549.54	$954.99
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $81.28 / $190.55	Professional	26	$50.12	$81.28	$190.55
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $457.09 / $831.76	Professional	TC	$275.42	$457.09	$831.76
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $66.07 / $208.93	Facility	26	$45.71	$66.07	$208.93
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $416.87 / $954.99	Professional		$302.00	$416.87	$954.99
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $66.07 / $177.83	Professional	26	$45.71	$66.07	$177.83
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $346.74 / $794.33	Professional	TC	$251.19	$346.74	$794.33

New York rates for HCPCS 95816