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 $363.08 / $1,819.70 / $4,786.30	Facility		$363.08	$1,819.70	$4,786.30
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $954.99 / $1,412.54 / $1,905.46	Facility	52	$954.99	$1,412.54	$1,905.46
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $3,890.45 / $3,890.45 / $3,890.45	Facility	53	$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $245.47 / $645.65	Professional		$112.20	$245.47	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $120.23 / $147.91	Professional		$69.18	$120.23	$147.91
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $2,187.76 / $4,073.80	Facility		$707.95	$2,187.76	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $281.84 / $457.09	Professional		$138.04	$281.84	$457.09
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $194.98 / $218.78	Professional		$128.82	$194.98	$218.78
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $147.91 / $208.93	Facility		$117.49	$147.91	$208.93
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $331.13 / $616.60	Professional		$257.04	$331.13	$616.60
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $380.19 / $794.33	Facility		$173.78	$380.19	$794.33
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $275.42 / $524.81	Professional		$134.90	$275.42	$524.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $1,288.25 / $3,311.31	Facility		$407.38	$1,288.25	$3,311.31
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $223.87 / $457.09	Professional		$107.15	$223.87	$457.09
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $416.87 / $562.34	Facility		$100.00	$416.87	$562.34
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $302.00 / $478.63	Professional		$112.20	$302.00	$478.63
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 $114.82 / $229.09 / $426.58	Professional		$114.82	$229.09	$426.58

Ohio rates for HCPCS 43235