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 $588.84 / $1,819.70 / $6,456.54	Facility		$588.84	$1,819.70	$6,456.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $295.12 / $1,737.80	Professional		$141.25	$295.12	$1,737.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $144.54 / $537.03	Professional		$66.07	$144.54	$537.03
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 $154.88 / $218.78 / $1,122.02	Professional		$154.88	$218.78	$1,122.02
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $186.21 / $269.15	Professional		$162.18	$186.21	$269.15
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $263.03	Facility		$147.91	$186.21	$263.03
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,174.90 / $2,187.76	Professional		$912.01	$1,174.90	$2,187.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $602.56 / $1,445.44	Facility		$257.04	$602.56	$1,445.44
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $323.59 / $1,819.70	Professional		$162.18	$323.59	$1,819.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,202.26 / $2,691.53	Facility		$524.81	$1,202.26	$2,691.53
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Medical Mutual of Ohio Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $269.15 / $1,584.89	Professional		$147.91	$269.15	$1,584.89
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
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 $138.04 / $323.59 / $1,698.24	Professional		$138.04	$323.59	$1,698.24
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 $138.04 / $275.42 / $1,584.89	Professional		$138.04	$275.42	$1,584.89

Ohio rates for HCPCS 43249