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 $83.18 / $107.15 / $190.55	Facility	26	$83.18	$107.15	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $169.82 / $354.81	Professional		$131.83	$169.82	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $85.11 / $181.97	Professional	26	$70.79	$85.11	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $83.18 / $144.54	Professional	TC	$56.23	$83.18	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $169.82 / $309.03	Professional		$144.54	$169.82	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $83.18 / $147.91	Professional	26	$67.61	$83.18	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $89.13 / $162.18	Professional	TC	$75.86	$89.13	$162.18
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $128.82 / $245.47	Professional		$114.82	$128.82	$245.47
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $89.13 / $128.82	Facility	26	$19.50	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $229.09 / $602.56	Professional		$125.89	$229.09	$602.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $120.23 / $295.12	Professional	26	$61.66	$120.23	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $117.49 / $302.00	Professional	TC	$56.23	$117.49	$302.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $338.84	Professional		$169.82	$239.88	$338.84
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $123.03 / $169.82	Professional	26	$83.18	$123.03	$169.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $125.89 / $169.82	Professional	TC	$89.13	$125.89	$169.82
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $154.88 / $338.84	Professional		$109.65	$154.88	$338.84
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $83.18 / $169.82	Professional	26	$63.10	$83.18	$169.82
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $81.28 / $165.96	Professional	TC	$53.70	$81.28	$165.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $190.55 / $190.55	Professional		$186.21	$190.55	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $93.33 / $93.33	Professional	26	$85.11	$93.33	$93.33
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $239.88 / $416.87	Professional		$199.53	$239.88	$416.87
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $117.49 / $213.80	Professional	26	$95.50	$117.49	$213.80
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $123.03 / $208.93	Professional	TC	$102.33	$123.03	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $229.09 / $602.56	Professional		$144.54	$229.09	$602.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $114.82 / $302.00	Professional	26	$72.44	$114.82	$302.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $114.82 / $512.86	Professional	TC	$75.86	$114.82	$512.86
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $93.33 / $295.12	Facility	26	$66.07	$93.33	$295.12
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $169.82 / $446.68	Professional		$123.03	$169.82	$446.68
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $93.33 / $223.87	Professional	26	$64.57	$93.33	$223.87
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $85.11 / $204.17	Professional	TC	$54.95	$85.11	$204.17

New York rates for HCPCS 95861