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 $467.74 / $2,398.83 / $7,244.36	Facility		$467.74	$2,398.83	$7,244.36
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $758.58 / $3,715.35 / $3,715.35	Facility	52	$758.58	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $251.19 / $776.25	Professional		$67.61	$251.19	$776.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $128.82 / $181.97	Professional		$64.57	$128.82	$181.97
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $2,238.72 / $4,073.80	Facility		$776.25	$2,238.72	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $323.59 / $524.81	Professional		$162.18	$323.59	$524.81
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $380.19	Professional		$144.54	$190.55	$380.19
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $165.96 / $234.42	Facility		$131.83	$165.96	$234.42
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $426.58 / $794.33	Professional		$331.13	$426.58	$794.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $602.56 / $794.33	Facility		$234.42	$602.56	$794.33
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $331.13 / $645.65	Professional		$154.88	$331.13	$645.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $1,318.26 / $2,951.21	Facility		$602.56	$1,318.26	$2,951.21
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $204.17 / $524.81	Professional		$85.11	$204.17	$524.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $562.34 / $645.65	Facility		$100.00	$562.34	$645.65
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $338.84 / $588.84	Professional		$134.90	$338.84	$588.84
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 $128.82 / $281.84 / $537.03	Professional		$128.82	$281.84	$537.03

Ohio rates for HCPCS 43239