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 / $72.44 / $107.15	Facility	26	$50.12	$72.44	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $457.09 / $1,000.00	Professional		$338.84	$457.09	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $72.44 / $151.36	Professional	26	$51.29	$72.44	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $380.19 / $676.08	Professional	TC	$281.84	$380.19	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $416.87 / $501.19	Professional		$371.54	$416.87	$501.19
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $53.70	Professional	26	$52.48	$52.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $467.74 / $812.83	Professional		$398.11	$467.74	$812.83
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 $346.74 / $407.38 / $707.95	Professional	TC	$346.74	$407.38	$707.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $549.54 / $630.96	Professional		$81.28	$549.54	$630.96
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 $302.00 / $602.56 / $1,621.81	Professional		$302.00	$602.56	$1,621.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $85.11 / $204.17	Professional	26	$43.65	$85.11	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $524.81 / $1,445.44	Professional	TC	$239.88	$524.81	$1,445.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $758.58 / $1,000.00	Professional		$512.86	$758.58	$1,000.00
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 $467.74 / $676.08 / $891.25	Professional	TC	$467.74	$676.08	$891.25
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $436.52 / $954.99	Professional		$309.03	$436.52	$954.99
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $57.54 / $120.23	Professional	26	$45.71	$57.54	$120.23
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $380.19 / $831.76	Professional	TC	$275.42	$380.19	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $1,047.13	Professional		$478.63	$478.63	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $64.57 / $120.23	Professional	26	$52.48	$64.57	$120.23
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $588.84 / $1,174.90	Professional		$501.19	$588.84	$1,174.90
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 $436.52 / $524.81 / $1,047.13	Professional	TC	$436.52	$524.81	$1,047.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $645.65 / $1,148.15	Professional		$363.08	$645.65	$1,148.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $81.28 / $208.93	Professional	26	$50.12	$81.28	$208.93
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $537.03 / $1,023.29	Professional	TC	$338.84	$537.03	$1,023.29
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 $338.84 / $478.63 / $1,122.02	Professional		$338.84	$478.63	$1,122.02
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $60.26 / $158.49	Professional	26	$45.71	$60.26	$158.49
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $407.38 / $977.24	Professional	TC	$275.42	$407.38	$977.24

New York rates for HCPCS 95819