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 $23.99 / $186.21 / $5,128.61	Facility		$23.99	$186.21	$5,128.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $25.70 / $53.70	Professional		$13.80	$25.70	$53.70
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $18.62 / $39.81 / $75.86	Professional	50	$18.62	$39.81	$75.86
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.80 / $16.22 / $16.22	Professional	52	$13.80	$16.22	$16.22
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $23.99	Professional		$12.88	$15.85	$23.99
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $17.78 / $22.91 / $36.31	Professional	50	$17.78	$22.91	$36.31
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $15.14 / $25.70	Professional		$11.75	$15.14	$25.70
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $17.78 / $22.91 / $38.02	Professional	50	$17.78	$22.91	$38.02
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $16.60 / $19.50	Facility		$13.80	$16.60	$19.50
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $18.62 / $33.11	Professional		$16.60	$18.62	$33.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $23.44 / $21,379.62	Facility		$12.30	$23.44	$21,379.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $18.62 / $28.84	Professional		$13.80	$18.62	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $87.10 / $676.08	Facility		$10.47	$87.10	$676.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $17.78 / $27.54	Professional		$10.47	$17.78	$27.54
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional	50	$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $100.00	Facility		$72.44	$72.44	$100.00
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $18.20 / $30.90	Professional		$14.79	$18.20	$30.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $870.96 / $2,951.21	Facility		$45.71	$870.96	$2,951.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $15.85 / $26.92	Professional		$11.22	$15.85	$26.92
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $85.11 / $85.11	Professional	50	$79.43	$85.11	$85.11

Ohio rates for HCPCS 69209