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 $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $102.33 / $239.88	Professional		$57.54	$102.33	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $45.71 / $109.65	Professional	26	$23.44	$45.71	$109.65
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $45.71 / $58.88 / $446.68	Professional	52	$45.71	$58.88	$446.68
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $56.23 / $114.82	Professional	TC	$30.20	$56.23	$114.82
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $89.13 / $89.13	Professional		$41.69	$89.13	$89.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $52.48	Facility	26	$41.69	$41.69	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $91.20 / $194.98	Professional		$75.86	$91.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.90 / $63.10	Professional	26	$26.30	$38.90	$63.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $56.23 / $131.83	Professional	TC	$47.86	$56.23	$131.83
MountainHealth Co-op Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $213.80	Professional		$97.72	$100.00	$213.80
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $52.48	Facility	26	$41.69	$41.69	$52.48
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $154.88	Professional		$85.11	$107.15	$154.88
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $41.69 / $53.70	Professional	26	$28.84	$41.69	$53.70
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $52.48 / $104.71	Professional	TC	$41.69	$52.48	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $89.13 / $151.36	Professional		$81.28	$89.13	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $29.51 / $85.11	Professional	26	$27.54	$29.51	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $61.66 / $95.50	Professional	TC	$51.29	$61.66	$95.50

Montana rates for HCPCS 76604