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 $234.42 / $977.24 / $4,897.79	Facility		$234.42	$977.24	$4,897.79
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $50.12 / $53.70 / $64.57	Facility	26	$50.12	$53.70	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $234.42 / $512.86	Professional		$151.36	$234.42	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $165.96	Professional	26	$37.15	$51.29	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $173.78 / $323.59	Professional	TC	$97.72	$173.78	$323.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $245.47 / $263.03	Professional		$190.55	$245.47	$263.03
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	TC	$204.17	$204.17	$204.17
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $117.49 / $154.88	Facility		$37.15	$117.49	$154.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $257.04 / $346.74	Professional		$89.13	$257.04	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $616.60	Professional		$125.89	$173.78	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $52.48 / $89.13	Professional	26	$35.48	$52.48	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $138.04 / $218.78	Professional	TC	$83.18	$138.04	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $954.99 / $4,897.79	Facility		$234.42	$954.99	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $100.00 / $117.49	Facility	26	$42.66	$100.00	$117.49
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $208.93 / $426.58	Professional		$134.90	$208.93	$426.58
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $51.29 / $123.03	Professional	26	$39.81	$51.29	$123.03
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $151.36 / $275.42	Professional	TC	$89.13	$151.36	$275.42
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $229.09	Professional		$112.20	$165.96	$229.09
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $48.98 / $77.62	Professional	26	$36.31	$48.98	$77.62
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $128.82 / $173.78	Professional	TC	$93.33	$128.82	$173.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,258.93 / $2,454.71	Facility		$467.74	$1,258.93	$2,454.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $190.55 / $302.00	Professional		$128.82	$190.55	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $53.70 / $72.44	Professional	26	$41.69	$53.70	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $138.04 / $218.78	Professional	TC	$79.43	$138.04	$218.78

Michigan rates for HCPCS 51797