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 $794.33 / $2,089.30 / $4,786.30	Facility		$794.33	$2,089.30	$4,786.30
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $2,137.96	Facility	52	$1,000.00	$1,000.00	$2,137.96
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $89.13 / $165.96 / $912.01	Facility	53	$89.13	$165.96	$912.01
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $331.13 / $575.44	Professional		$177.83	$331.13	$575.44
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $83.18 / $154.88 / $245.47	Professional	53	$83.18	$154.88	$245.47
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $169.82 / $269.15	Facility		$24.55	$169.82	$269.15
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $208.93 / $724.44	Professional		$40.74	$208.93	$724.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $1,659.59	Facility		$309.03	$309.03	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Facility	22	$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility	52	$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	53	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $354.81 / $2,884.03	Professional		$194.98	$354.81	$2,884.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,238.72 / $4,786.30	Facility		$1,000.00	$2,238.72	$4,786.30
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $3,162.28	Facility	52	$3,162.28	$3,162.28	$3,162.28
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $6,606.93 / $6,606.93 / $6,606.93	Facility	53	$6,606.93	$6,606.93	$6,606.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $234.42 / $354.81	Professional		$204.17	$234.42	$354.81
Highmark BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $213.80 / $229.09 / $346.74	Professional	53	$213.80	$229.09	$346.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $1,230.27 / $2,570.40	Facility		$562.34	$1,230.27	$2,570.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $309.03 / $588.84	Professional		$158.49	$309.03	$588.84
United Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	53	$218.78	$218.78	$218.78

West Virginia rates for HCPCS 45378