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 Typical Low / Median / Typical High $109.65 / $831.76 / $4,073.80	Facility		$109.65	$831.76	$4,073.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $109.65 / $275.42	Professional		$52.48	$109.65	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $70.79 / $123.03	Professional		$48.98	$70.79	$123.03
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $1,995.26 / $3,981.07	Facility		$776.25	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $57.54 / $131.83	Professional		$37.15	$57.54	$131.83
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $85.11 / $199.53	Professional	50	$56.23	$85.11	$199.53
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $74.13 / $77.62	Facility		$45.71	$74.13	$77.62
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $158.49 / $275.42	Professional		$128.82	$158.49	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $114.82 / $204.17	Professional		$57.54	$114.82	$204.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $812.83 / $1,905.46	Facility		$426.58	$812.83	$1,905.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $102.33 / $194.98	Professional		$56.23	$102.33	$194.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $42.66	Professional		$28.18	$33.11	$42.66
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $251.19	Facility		$100.00	$100.00	$251.19
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $123.03 / $194.98	Professional		$57.54	$123.03	$194.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $912.01 / $2,951.21	Facility		$309.03	$912.01	$2,951.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $89.13 / $173.78	Professional		$50.12	$89.13	$173.78

Ohio rates for HCPCS 11042