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 $97.72 / $316.23 / $831.76	Facility		$97.72	$316.23	$831.76
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $34.67 / $93.33	Facility	26	$25.70	$34.67	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $407.38	Professional		$97.72	$158.49	$407.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $43.65 / $95.50	Professional	26	$23.99	$43.65	$95.50
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $83.18 / $239.88	Professional	52	$28.18	$83.18	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $100.00 / $234.42	Professional	TC	$70.79	$100.00	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $83.18 / $141.25	Professional		$74.13	$83.18	$141.25
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.92 / $44.67	Professional	26	$20.42	$26.92	$44.67
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $61.66 / $117.49	Professional	TC	$60.26	$61.66	$117.49
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $288.40 / $302.00	Facility		$257.04	$288.40	$302.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $165.96	Professional		$85.11	$109.65	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $54.95	Professional	26	$28.18	$36.31	$54.95
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $72.44 / $114.82	Professional	TC	$54.95	$72.44	$114.82
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $131.83 / $204.17	Professional		$117.49	$131.83	$204.17
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $33.88 / $52.48	Professional	26	$29.51	$33.88	$52.48
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $97.72 / $151.36	Professional	TC	$87.10	$97.72	$151.36
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $95.50 / $162.18	Facility		$28.84	$95.50	$162.18
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $85.11 / $147.91	Professional		$26.92	$85.11	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $323.59 / $524.81	Facility		$173.78	$323.59	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $234.42	Professional		$89.13	$131.83	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $35.48 / $56.23	Professional	26	$23.99	$35.48	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $97.72 / $177.83	Professional	TC	$63.10	$97.72	$177.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $436.52 / $851.14	Facility		$234.42	$436.52	$851.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $128.82 / $218.78	Professional		$83.18	$128.82	$218.78
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $38.02 / $74.13	Professional	26	$23.99	$38.02	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $97.72 / $169.82	Professional	TC	$66.07	$97.72	$169.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $32.36 / $48.98	Professional		$20.89	$32.36	$48.98
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $138.04 / $234.42	Professional		$104.71	$138.04	$234.42
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $35.48 / $60.26	Professional	26	$26.92	$35.48	$60.26
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $102.33 / $173.78	Professional	TC	$79.43	$102.33	$173.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $81.28 / $251.19	Facility		$31.62	$81.28	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $204.17	Professional		$81.28	$117.49	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $58.88	Professional	26	$21.88	$30.90	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $89.13 / $158.49	Professional	TC	$58.88	$89.13	$158.49

Ohio rates for HCPCS 76536