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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $7,585.78 / $12,022.64	Facility	$1,862.09	$7,585.78	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,071.52 / $3,162.28	Professional	$912.01	$1,071.52	$3,162.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Professional	$831.76	$831.76	$831.76
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $4,265.80 / $16,982.44	Facility	$1,071.52	$4,265.80	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,096.48 / $1,737.80	Professional	$851.14	$1,096.48	$1,737.80
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $1,047.13 / $3,630.78	Facility	$912.01	$1,047.13	$3,630.78
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,148.15	Professional	$1,000.00	$1,000.00	$1,148.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $1,621.81 / $4,897.79	Facility	$602.56	$1,621.81	$4,897.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,230.27 / $2,089.30	Professional	$691.83	$1,230.27	$2,089.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,621.81 / $5,888.44	Facility	$575.44	$1,621.81	$5,888.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $1,230.27 / $1,949.84	Professional	$537.03	$1,230.27	$1,949.84
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 / $7,244.36	Facility	$100.00	$100.00	$7,244.36
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,122.02 / $2,137.96	Professional	$954.99	$1,122.02	$2,137.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $6,025.60 / $13,489.63	Facility	$1,047.13	$6,025.60	$13,489.63
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,047.13 / $1,698.24	Professional	$758.58	$1,047.13	$1,698.24

Ohio rates for HCPCS 42225