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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility	TC	$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $64.57 / $213.80	Professional		$38.02	$64.57	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $21.38 / $30.20	Professional	26	$12.30	$21.38	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $36.31 / $67.61	Professional	TC	$25.70	$36.31	$67.61
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $67.61	Professional		$19.95	$19.95	$67.61
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $24.55	Facility	26	$19.95	$19.95	$24.55
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $58.88	Facility	TC	$47.86	$47.86	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $64.57 / $109.65	Professional		$31.62	$64.57	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.95 / $35.48	Professional	26	$10.96	$19.95	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $41.69 / $74.13	Professional	TC	$20.42	$41.69	$74.13
MountainHealth Co-op Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $112.20	Professional		$63.10	$74.13	$112.20
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $24.55	Facility	26	$19.95	$19.95	$24.55
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $58.88	Facility	TC	$47.86	$47.86	$58.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $95.50 / $114.82	Professional		$53.70	$95.50	$114.82
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.95 / $28.84	Professional	26	$13.18	$19.95	$28.84
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $43.65 / $69.18	Professional	TC	$29.51	$43.65	$69.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $42.66 / $85.11	Professional		$39.81	$42.66	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $14.79 / $38.02	Professional	26	$13.80	$14.79	$38.02
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $28.18 / $58.88	Professional	TC	$25.70	$28.18	$58.88

Montana rates for HCPCS 74021