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 $77.62 / $1,202.26 / $4,897.79	Facility		$77.62	$1,202.26	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $2,398.83	Facility	50	$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $229.09	Professional		$43.65	$83.18	$229.09
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $213.80 / $354.81	Professional	50	$102.33	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $47.86	Professional		$41.69	$41.69	$47.86
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $74.13 / $104.71	Professional		$58.88	$74.13	$104.71
BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $158.49 / $251.19	Professional	50	$87.10	$158.49	$251.19
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $67.61 / $97.72	Facility		$52.48	$67.61	$97.72
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $181.97	Professional		$74.13	$104.71	$181.97
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $72.44 / $120.23	Professional		$43.65	$72.44	$120.23
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $549.54 / $4,897.79	Facility		$77.62	$549.54	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $2,398.83	Facility	50	$2,398.83	$2,398.83	$2,398.83
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $87.10 / $165.96	Professional		$46.77	$87.10	$165.96
Health Alliance Plan Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $154.88 / $338.84	Professional	50	$85.11	$154.88	$338.84
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $69.18 / $102.33	Professional		$43.65	$69.18	$102.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $812.83 / $1,698.24	Facility		$245.47	$812.83	$1,698.24
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $70.79 / $100.00	Professional		$47.86	$70.79	$100.00

Michigan rates for HCPCS 20604