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 $33.11 / $33.11 / $41.69	Facility	26	$33.11	$33.11	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $91.20 / $416.87	Professional		$52.48	$91.20	$416.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $44.67 / $128.82	Professional	26	$23.44	$44.67	$128.82
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $83.18 / $354.81	Professional	52	$43.65	$83.18	$354.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $50.12 / $120.23	Professional	TC	$25.70	$50.12	$120.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $57.54 / $83.18	Professional		$47.86	$57.54	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $27.54 / $50.12	Professional	26	$5.62	$27.54	$50.12
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $12.30 / $117.49	Professional	52	$12.30	$12.30	$117.49
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $87.10 / $93.33	Professional		$46.77	$87.10	$93.33
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $58.88	Professional	26	$42.66	$42.66	$58.88
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $48.98 / $48.98	Professional	TC	$41.69	$48.98	$48.98
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.02 / $72.44	Professional		$27.54	$38.02	$72.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $89.13 / $173.78	Professional		$56.23	$89.13	$173.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $32.36 / $70.79	Professional	26	$21.88	$32.36	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $56.23 / $112.20	Professional	TC	$29.51	$56.23	$112.20
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $33.88 / $57.54	Facility	26	$32.36	$33.88	$57.54
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $87.10 / $199.53	Professional		$57.54	$87.10	$199.53
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $35.48 / $91.20	Professional	26	$23.44	$35.48	$91.20
Health Alliance Plan Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $37.15 / $85.11 / $354.81	Professional	52	$37.15	$85.11	$354.81
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $52.48 / $100.00	Professional	TC	$30.90	$52.48	$100.00
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $91.20 / $141.25	Professional		$50.12	$91.20	$141.25
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $29.51 / $53.70	Professional	26	$21.38	$29.51	$53.70
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $56.23 / $107.15	Professional	TC	$25.70	$56.23	$107.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $169.82	Professional		$69.18	$91.20	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $32.36 / $162.18	Professional	26	$25.70	$32.36	$162.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $56.23 / $85.11	Professional	TC	$40.74	$56.23	$85.11

Michigan rates for HCPCS 76604