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 $134.90 / $141.25 / $177.83	Facility	26	$134.90	$141.25	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $512.86 / $1,905.46	Professional		$331.13	$512.86	$1,905.46
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $199.53 / $537.03	Professional	26	$107.15	$199.53	$537.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $338.84 / $870.96	Professional	TC	$234.42	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $269.15 / $616.60	Professional		$239.88	$269.15	$616.60
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $107.15 / $229.09	Professional	26	$87.10	$107.15	$229.09
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $478.63 / $512.86	Professional		$323.59	$478.63	$512.86
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $234.42	Professional	26	$173.78	$173.78	$234.42
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $257.04 / $436.52	Professional		$120.23	$257.04	$436.52
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $616.60 / $1,230.27	Professional		$331.13	$616.60	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $144.54 / $288.40	Professional	26	$81.28	$144.54	$288.40
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $407.38 / $1,000.00	Professional	TC	$223.87	$407.38	$1,000.00
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $134.90 / $141.25 / $245.47	Facility	26	$134.90	$141.25	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $512.86 / $1,096.48	Professional		$354.81	$512.86	$1,096.48
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $162.18 / $436.52	Professional	26	$107.15	$162.18	$436.52
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $354.81 / $776.25	Professional	TC	$234.42	$354.81	$776.25
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $575.44 / $1,288.25	Professional		$331.13	$575.44	$1,288.25
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $199.53	Professional	26	$89.13	$131.83	$199.53
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $371.54 / $933.25	Professional	TC	$218.78	$371.54	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $446.68 / $1,659.59	Professional		$239.88	$446.68	$1,659.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $128.82 / $707.95	Professional	26	$95.50	$128.82	$707.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $309.03 / $1,122.02	Professional	TC	$134.90	$309.03	$1,122.02

Michigan rates for HCPCS 72158