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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	26	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $426.58 / $1,202.26	Professional		$316.23	$426.58	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $125.89 / $281.84	Professional	26	$95.50	$125.89	$281.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	52	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $257.04 / $389.05	Professional	TC	$218.78	$257.04	$389.05
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $199.53 / $489.78	Professional		$97.72	$199.53	$489.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $123.03 / $173.78	Facility	26	$26.30	$123.03	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $1,584.89	Professional		$331.13	$436.52	$1,584.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $147.91 / $478.63	Professional	26	$100.00	$147.91	$478.63
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $295.12 / $1,096.48	Professional	TC	$223.87	$295.12	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $354.81 / $562.34	Professional		$257.04	$354.81	$562.34
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $123.03 / $186.21	Professional	26	$85.11	$123.03	$186.21
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $223.87 / $389.05	Professional	TC	$165.96	$223.87	$389.05

West Virginia rates for HCPCS 51728