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 $37.15 / $52.48 / $70.79	Facility	26	$37.15	$52.48	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $128.82 / $302.00	Professional		$100.00	$128.82	$302.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $58.88 / $109.65	Professional	26	$30.90	$58.88	$109.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $87.10 / $194.98	Professional	TC	$67.61	$87.10	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $45.71 / $51.29	Professional	26	$29.51	$45.71	$51.29
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $114.82 / $190.55	Professional		$89.13	$114.82	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $74.13	Professional	26	$35.48	$46.77	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $67.61 / $114.82	Professional	TC	$52.48	$67.61	$114.82
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $147.91 / $229.09	Professional		$128.82	$147.91	$229.09
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $47.86 / $74.13	Professional	26	$42.66	$47.86	$74.13
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $100.00 / $154.88	Professional	TC	$87.10	$100.00	$154.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $93.33 / $173.78	Professional		$39.81	$93.33	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $263.03	Professional		$95.50	$141.25	$263.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $83.18	Professional	26	$31.62	$46.77	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $97.72 / $190.55	Professional	TC	$63.10	$97.72	$190.55
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $134.90 / $229.09	Professional		$91.20	$134.90	$229.09
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $50.12 / $91.20	Professional	26	$33.11	$50.12	$91.20
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $95.50 / $162.18	Professional	TC	$63.10	$95.50	$162.18
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 26 Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $147.91 / $263.03	Professional		$120.23	$147.91	$263.03
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $85.11	Professional	26	$38.90	$47.86	$85.11
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $100.00 / $177.83	Professional	TC	$81.28	$100.00	$177.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $123.03 / $223.87	Professional		$83.18	$123.03	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $41.69 / $85.11	Professional	26	$29.51	$41.69	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $81.28 / $138.04	Professional	TC	$52.48	$81.28	$138.04

Ohio rates for HCPCS 74240