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 $141.25 / $2,187.76 / $10,232.93	Facility		$141.25	$2,187.76	$10,232.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $218.78 / $489.78	Professional		$85.11	$218.78	$489.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $2,187.76 / $3,548.13	Facility		$707.95	$2,187.76	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $204.17 / $371.54	Professional		$91.20	$204.17	$371.54
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $91.20 / $630.96	Facility		$81.28	$91.20	$630.96
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $102.33	Professional		$91.20	$91.20	$102.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $380.19 / $794.33	Facility		$123.03	$380.19	$794.33
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $223.87 / $457.09	Professional		$95.50	$223.87	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $457.09 / $1,318.26	Facility		$147.91	$457.09	$1,318.26
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $218.78 / $446.68	Professional		$95.50	$218.78	$446.68
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $562.34	Facility		$100.00	$100.00	$562.34
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $229.09 / $426.58	Professional		$81.28	$229.09	$426.58
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $2,187.76 / $4,897.79	Facility		$676.08	$2,187.76	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $181.97 / $363.08	Professional		$81.28	$181.97	$363.08

Ohio rates for HCPCS 43200