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 $177.83 / $977.24 / $8,912.51	Facility		$177.83	$977.24	$8,912.51
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $74.13 / $208.93 / $630.96	Facility	52	$74.13	$208.93	$630.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $186.21 / $467.74	Professional		$63.10	$186.21	$467.74
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $60.26 / $190.55 / $229.09	Professional	52	$60.26	$190.55	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $162.18 / $213.80	Professional		$75.86	$162.18	$213.80
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $123.03 / $257.04	Professional		$69.18	$123.03	$257.04
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $72.44 / $85.11	Facility		$60.26	$72.44	$85.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $229.09 / $407.38	Professional		$204.17	$229.09	$407.38
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 $74.13 / $186.21 / $346.74	Professional		$74.13	$186.21	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $446.68 / $1,513.56	Facility		$199.53	$446.68	$1,513.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $186.21 / $338.84	Professional		$72.44	$186.21	$338.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $123.03	Facility		$100.00	$100.00	$123.03
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $165.96 / $302.00	Professional		$58.88	$165.96	$302.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $870.96 / $2,951.21	Facility		$151.36	$870.96	$2,951.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $141.25 / $295.12	Professional		$63.10	$141.25	$295.12

Ohio rates for HCPCS 31231