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 $34.67 / $45.71 / $70.79	Facility	26	$34.67	$45.71	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $263.03	Professional		$66.07	$102.33	$263.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $36.31 / $125.89	Professional	26	$28.84	$36.31	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $67.61 / $112.20	Professional	TC	$33.88	$67.61	$112.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $79.43 / $165.96	Professional		$63.10	$79.43	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $63.10	Professional	26	$26.92	$33.11	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $45.71 / $107.15	Professional	TC	$37.15	$45.71	$107.15
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $97.72 / $147.91	Professional		$48.98	$97.72	$147.91
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $38.02 / $54.95	Facility	26	$8.13	$38.02	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $128.82 / $371.54	Professional		$70.79	$128.82	$371.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $50.12 / $125.89	Professional	26	$26.30	$50.12	$125.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $81.28 / $251.19	Professional	TC	$29.51	$81.28	$251.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $218.78	Professional		$112.20	$165.96	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $51.29 / $72.44	Professional	26	$34.67	$51.29	$72.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $114.82 / $151.36	Professional	TC	$79.43	$114.82	$151.36
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $102.33 / $213.80	Professional		$63.10	$102.33	$213.80
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $34.67 / $72.44	Professional	26	$26.92	$34.67	$72.44
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $67.61 / $147.91	Professional	TC	$32.36	$67.61	$147.91
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $112.20 / $112.20	Professional		$93.33	$112.20	$112.20
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $134.90 / $275.42	Professional		$109.65	$134.90	$275.42
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $48.98 / $89.13	Professional	26	$39.81	$48.98	$89.13
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $83.18 / $181.97	Professional	TC	$67.61	$83.18	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $263.03	Professional		$81.28	$138.04	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $48.98 / $85.11	Professional	26	$30.20	$48.98	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $97.72 / $186.21	Professional	TC	$52.48	$97.72	$186.21
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $39.81 / $128.82	Facility	26	$28.18	$39.81	$128.82
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $109.65 / $275.42	Professional		$70.79	$109.65	$275.42
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $39.81 / $109.65	Professional	26	$27.54	$39.81	$109.65
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $70.79 / $165.96	Professional	TC	$40.74	$70.79	$165.96

New York rates for HCPCS 95937