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 $457.09 / $1,778.28 / $4,677.35	Facility		$457.09	$1,778.28	$4,677.35
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility	52	$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $794.33 / $794.33 / $3,890.45	Facility	53	$794.33	$794.33	$3,890.45
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $426.58 / $1,071.52	Professional		$194.98	$426.58	$1,071.52
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $173.78 / $275.42 / $1,318.26	Professional	52	$173.78	$275.42	$1,318.26
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $69.18 / $173.78 / $524.81	Professional	53	$69.18	$173.78	$524.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $190.55 / $338.84	Professional		$165.96	$190.55	$338.84
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $50.12 / $57.54 / $173.78	Professional	52	$50.12	$57.54	$173.78
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	53	$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $58.88 / $58.88	Facility		$50.12	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $316.23 / $676.08	Professional		$177.83	$316.23	$676.08
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $245.47 / $338.84	Facility		$186.21	$245.47	$338.84
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $524.81 / $912.01	Professional		$380.19	$524.81	$912.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $436.52 / $851.14	Professional		$208.93	$436.52	$851.14
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $1,621.81 / $4,365.16	Facility		$316.23	$1,621.81	$4,365.16
Health Alliance Plan Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility	52	$1,047.13	$1,047.13	$1,047.13
Health Alliance Plan Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $794.33 / $794.33 / $3,890.45	Facility	53	$794.33	$794.33	$3,890.45
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $457.09 / $870.96	Professional		$208.93	$457.09	$870.96
Health Alliance Plan Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $173.78 / $223.87 / $1,000.00	Professional	52	$173.78	$223.87	$1,000.00
Health Alliance Plan Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $69.18 / $131.83 / $398.11	Professional	53	$69.18	$131.83	$398.11
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $407.38 / $660.69	Professional		$204.17	$407.38	$660.69
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $2,089.30 / $5,623.41	Facility		$954.99	$2,089.30	$5,623.41
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $398.11 / $691.83	Professional		$208.93	$398.11	$691.83

Michigan rates for HCPCS 45380