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 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $218.78	Professional		$64.57	$87.10	$218.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $33.11 / $123.03	Professional	26	$26.30	$33.11	$123.03
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $144.54 / $204.17 / $741.31	Professional	50	$144.54	$204.17	$741.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $47.86 / $93.33	Professional	TC	$35.48	$47.86	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $74.13	Professional		$61.66	$61.66	$74.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $208.93 / $223.87	Professional		$63.10	$208.93	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $104.71 / $213.80	Professional		$63.10	$104.71	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $41.69 / $87.10	Professional	26	$25.70	$41.69	$87.10
Cigna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $138.04 / $147.91	Professional	50	$95.50	$138.04	$147.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $64.57 / $134.90	Professional	TC	$39.81	$64.57	$134.90
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $46.77 / $77.62	Facility	26	$28.84	$46.77	$77.62
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $87.10 / $181.97	Professional		$70.79	$87.10	$181.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $37.15 / $74.13	Professional	26	$26.92	$37.15	$74.13
Health Alliance Plan Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $204.17 / $407.38	Professional	50	$173.78	$204.17	$407.38
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $52.48 / $107.15	Professional	TC	$39.81	$52.48	$107.15
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $165.96	Professional		$60.26	$100.00	$165.96
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.02 / $70.79	Professional	26	$26.30	$38.02	$70.79
Priority Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $104.71 / $144.54 / $218.78	Professional	50	$104.71	$144.54	$218.78
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $63.10 / $104.71	Professional	TC	$38.90	$63.10	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $102.33 / $144.54	Professional		$79.43	$102.33	$144.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $37.15 / $57.54	Professional	26	$31.62	$37.15	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $64.57 / $91.20	Professional	TC	$47.86	$64.57	$91.20

Michigan rates for HCPCS 76513