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 $549.54 / $2,511.89 / $8,317.64	Facility		$549.54	$2,511.89	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $371.54 / $1,148.15	Professional		$169.82	$371.54	$1,148.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $177.83 / $229.09	Professional		$100.00	$177.83	$229.09
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $2,630.27 / $5,888.44	Facility		$954.99	$2,630.27	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $204.17 / $630.96	Professional		$158.49	$204.17	$630.96
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $186.21 / $1,096.48	Facility		$165.96	$186.21	$1,096.48
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $204.17	Professional		$181.97	$181.97	$204.17
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $512.86 / $1,445.44	Facility		$223.87	$512.86	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $363.08 / $1,023.29	Professional		$186.21	$363.08	$1,023.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,258.93 / $2,818.38	Facility		$295.12	$1,258.93	$2,818.38
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $354.81 / $933.25	Professional		$186.21	$354.81	$933.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $562.34 / $2,344.23	Facility		$100.00	$562.34	$2,344.23
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $354.81 / $977.24	Professional		$162.18	$354.81	$977.24
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,290.87 / $5,248.07	Facility		$724.44	$2,290.87	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $316.23 / $851.14	Professional		$158.49	$316.23	$851.14

Ohio rates for HCPCS 43245