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 $316.23 / $2,137.96 / $7,413.10	Facility		$316.23	$2,137.96	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $338.84 / $776.25	Professional		$158.49	$338.84	$776.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $154.88 / $194.98	Professional		$100.00	$154.88	$194.98
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 $165.96 / $234.42 / $489.78	Professional		$165.96	$234.42	$489.78
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $288.40	Professional		$173.78	$263.03	$288.40
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $199.53 / $281.84	Facility		$158.49	$199.53	$281.84
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $467.74 / $870.96	Professional		$371.54	$467.74	$870.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $512.86 / $794.33	Facility		$229.09	$512.86	$794.33
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $323.59 / $707.95	Professional		$177.83	$323.59	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $831.76 / $2,089.30	Facility		$524.81	$831.76	$2,089.30
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $295.12 / $645.65	Professional		$158.49	$295.12	$645.65
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
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 $151.36 / $354.81 / $676.08	Professional		$151.36	$354.81	$676.08
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 $151.36 / $281.84 / $575.44	Professional		$151.36	$281.84	$575.44

Ohio rates for HCPCS 43248