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 Typical Low / Median / Typical High $117.49 / $389.05 / $794.33	Facility		$117.49	$389.05	$794.33
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $22.91	Facility	26	$18.20	$18.20	$22.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $117.49 / $281.84	Professional		$79.43	$117.49	$281.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.70 / $83.18	Professional	26	$12.88	$25.70	$83.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $91.20 / $181.97	Professional	TC	$66.07	$91.20	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $204.17	Professional		$75.86	$75.86	$204.17
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $13.18 / $26.30	Professional	26	$12.59	$13.18	$26.30
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $363.08	Facility		$138.04	$208.93	$363.08
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $151.36 / $162.18	Professional		$128.82	$151.36	$162.18
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $33.11	Professional	26	$24.55	$24.55	$33.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $245.47	Professional		$72.44	$107.15	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $19.50 / $39.81	Professional	26	$12.59	$19.50	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $234.42	Professional	TC	$60.26	$91.20	$234.42
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $346.74 / $758.58	Facility		$117.49	$346.74	$758.58
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.20 / $19.05 / $37.15	Facility	26	$18.20	$19.05	$37.15
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $239.88	Professional		$77.62	$117.49	$239.88
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $20.89 / $54.95	Professional	26	$12.88	$20.89	$54.95
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $100.00 / $199.53	Professional	TC	$64.57	$100.00	$199.53
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $162.18	Professional		$70.79	$97.72	$162.18
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $18.62 / $31.62	Professional	26	$13.18	$18.62	$31.62
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $79.43 / $151.36	Professional	TC	$60.26	$79.43	$151.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $229.09 / $630.96	Facility		$66.07	$229.09	$630.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $95.50 / $302.00	Professional		$83.18	$95.50	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $19.05 / $95.50	Professional	26	$14.79	$19.05	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $77.62 / $141.25	Professional	TC	$66.07	$77.62	$141.25

Michigan rates for HCPCS 74455