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 $131.83 / $134.90 / $169.82	Facility	26	$131.83	$134.90	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $588.84 / $2,511.89	Professional		$346.74	$588.84	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $177.83 / $501.19	Professional	26	$100.00	$177.83	$501.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $338.84 / $977.24	Professional	TC	$245.47	$338.84	$977.24
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $645.65	Professional		$263.03	$263.03	$645.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $138.04 / $190.55	Professional	26	$87.10	$138.04	$190.55
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $512.86 / $549.54	Professional		$354.81	$512.86	$549.54
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $223.87	Professional	26	$165.96	$165.96	$223.87
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Professional	TC	$380.19	$380.19	$380.19
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $281.84 / $478.63	Professional		$114.82	$281.84	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $645.65 / $1,230.27	Professional		$354.81	$645.65	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $138.04 / $275.42	Professional	26	$79.43	$138.04	$275.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $457.09 / $1,047.13	Professional	TC	$251.19	$457.09	$1,047.13
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $128.82 / $134.90 / $234.42	Facility	26	$128.82	$134.90	$234.42
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $562.34 / $1,548.82	Professional		$363.08	$562.34	$1,548.82
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $151.36 / $398.11	Professional	26	$100.00	$151.36	$398.11
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $389.05 / $870.96	Professional	TC	$257.04	$389.05	$870.96
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $602.56 / $1,258.93	Professional		$354.81	$602.56	$1,258.93
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $125.89 / $208.93	Professional	26	$89.13	$125.89	$208.93
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $398.11 / $954.99	Professional	TC	$245.47	$398.11	$954.99
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $537.03 / $1,584.89	Professional		$95.50	$537.03	$1,584.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $120.23 / $660.69	Professional	26	$93.33	$120.23	$660.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $389.05 / $1,174.90	Professional	TC	$95.50	$389.05	$1,174.90

Michigan rates for HCPCS 72197