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 / $2,187.76 / $6,456.54	Facility		$363.08	$2,187.76	$6,456.54
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,737.80	Facility	52	$1,380.38	$1,380.38	$1,737.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $363.08 / $794.33	Professional		$173.78	$363.08	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $177.83 / $213.80	Professional		$75.86	$177.83	$213.80
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $2,187.76 / $3,715.35	Facility		$776.25	$2,187.76	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $245.47 / $467.74	Professional		$177.83	$245.47	$467.74
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $281.84	Professional		$186.21	$186.21	$281.84
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $186.21 / $630.96	Facility		$165.96	$186.21	$630.96
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 $295.12 / $602.56 / $794.33	Facility		$295.12	$602.56	$794.33
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
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 Facility Modifier 53 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $338.84 / $691.83	Professional		$186.21	$338.84	$691.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $933.25 / $2,691.53	Facility		$489.78	$933.25	$2,691.53
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
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 Facility Modifier 53 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $316.23 / $616.60	Professional		$186.21	$316.23	$616.60
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
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 $162.18 / $354.81 / $630.96	Professional		$162.18	$354.81	$630.96
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 $162.18 / $288.40 / $562.34	Professional		$162.18	$288.40	$562.34

Ohio rates for HCPCS 43247