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 $275.42 / $3,715.35 / $9,549.93	Facility		$275.42	$3,715.35	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,445.44 / $5,495.41 / $9,772.37	Facility	50	$1,445.44	$5,495.41	$9,772.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $288.40 / $776.25	Professional		$158.49	$288.40	$776.25
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $512.86 / $794.33 / $1,659.59	Professional	50	$512.86	$794.33	$1,659.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $223.87 / $380.19	Professional		$190.55	$223.87	$380.19
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $295.12 / $457.09 / $588.84	Professional	50	$295.12	$457.09	$588.84
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $263.03 / $467.74	Professional		$165.96	$263.03	$467.74
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $251.19 / $389.05 / $691.83	Professional	50	$251.19	$389.05	$691.83
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $181.97 / $208.93	Facility		$151.36	$181.97	$208.93
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $331.13 / $588.84	Professional		$288.40	$331.13	$588.84
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 $186.21 / $288.40 / $501.19	Professional		$186.21	$288.40	$501.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $2,630.27 / $3,801.89	Facility		$1,698.24	$2,630.27	$3,801.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $295.12 / $501.19	Professional		$181.97	$295.12	$501.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $2,187.76	Facility		$100.00	$100.00	$2,187.76
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $275.42 / $501.19	Professional		$141.25	$275.42	$501.19
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,570.40 / $5,495.41	Facility		$1,348.96	$2,570.40	$5,495.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $251.19 / $426.58	Professional		$154.88	$251.19	$426.58
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	50	$89.13	$89.13	$89.13

Ohio rates for HCPCS 31237