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 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 / $81.28 / $208.93	Professional		$64.57	$81.28	$208.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $34.67 / $81.28	Professional	26	$26.92	$34.67	$81.28
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	50	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $48.98 / $85.11	Professional	TC	$36.31	$48.98	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $114.82 / $177.83	Professional		$85.11	$114.82	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $45.71 / $69.18	Professional	26	$33.88	$45.71	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $70.79 / $109.65	Professional	TC	$48.98	$70.79	$109.65
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Regence BlueShield Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $147.91 / $194.98	Professional		$104.71	$147.91	$194.98
Regence BlueShield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $58.88 / $75.86	Professional	26	$44.67	$58.88	$75.86
Regence BlueShield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $87.10 / $120.23	Professional	TC	$60.26	$87.10	$120.23
Select Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $114.82 / $186.21	Professional		$72.44	$114.82	$186.21
Select Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $50.12 / $77.62	Professional	26	$31.62	$50.12	$77.62
Select Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $64.57 / $125.89	Professional	TC	$41.69	$64.57	$125.89
U of Utah Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $69.18 / $134.90	Professional		$40.74	$69.18	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $102.33 / $151.36	Professional		$81.28	$102.33	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $37.15 / $57.54	Professional	26	$32.36	$37.15	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $64.57 / $97.72	Professional	TC	$50.12	$64.57	$97.72

Utah rates for HCPCS 76513