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 26 Typical Low / Median / Typical High $58.88 / $60.26 / $75.86	Facility	26	$58.88	$60.26	$75.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $812.83	Professional		$128.82	$223.87	$812.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $204.17	Professional	26	$43.65	$63.10	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $134.90 / $316.23	Professional	TC	$85.11	$134.90	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $56.23 / $93.33	Professional	26	$38.02	$56.23	$93.33
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $194.98 / $208.93	Professional		$69.18	$194.98	$208.93
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $100.00	Professional	26	$74.13	$74.13	$100.00
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	TC	$134.90	$134.90	$134.90
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $102.33 / $169.82	Professional		$52.48	$102.33	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $251.19 / $446.68	Professional		$138.04	$251.19	$446.68
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $66.07 / $123.03	Professional	26	$37.15	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $162.18 / $281.84	Professional	TC	$91.20	$162.18	$281.84
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $60.26 / $104.71	Facility	26	$58.88	$60.26	$104.71
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $213.80 / $501.19	Professional		$138.04	$213.80	$501.19
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $190.55	Professional	26	$43.65	$63.10	$190.55
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $144.54 / $316.23	Professional	TC	$91.20	$144.54	$316.23
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $229.09 / $467.74	Professional		$138.04	$229.09	$467.74
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $63.10 / $97.72	Professional	26	$39.81	$63.10	$97.72
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $158.49 / $295.12	Professional	TC	$91.20	$158.49	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $204.17 / $562.34	Professional		$95.50	$204.17	$562.34
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $63.10 / $295.12	Professional	26	$47.86	$63.10	$295.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $144.54 / $269.15	Professional	TC	$95.50	$144.54	$269.15

Michigan rates for HCPCS 72131