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 $26.30 / $33.88 / $51.29	Facility	26	$26.30	$33.88	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $85.11 / $239.88	Professional		$51.29	$85.11	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $42.66 / $97.72	Professional	26	$23.44	$42.66	$97.72
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $79.43 / $309.03	Professional	52	$43.65	$79.43	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $44.67 / $100.00	Professional	TC	$25.12	$44.67	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $43.65 / $46.77	Professional		$41.69	$43.65	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $26.30 / $44.67	Professional	26	$5.50	$26.30	$44.67
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Professional	52	$12.30	$12.30	$12.30
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $91.20 / $141.25	Professional		$74.13	$91.20	$141.25
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $36.31 / $53.70	Professional	26	$27.54	$36.31	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $54.95 / $87.10	Professional	TC	$45.71	$54.95	$87.10
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $70.79 / $74.13	Professional		$63.10	$70.79	$74.13
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $33.11 / $35.48	Professional	26	$30.20	$33.11	$35.48
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $37.15 / $39.81	Professional	TC	$32.36	$37.15	$39.81
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $72.44	Professional		$26.30	$39.81	$72.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $87.10 / $158.49	Professional		$57.54	$87.10	$158.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $34.67 / $57.54	Professional	26	$23.99	$34.67	$57.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $54.95 / $100.00	Professional	TC	$30.90	$54.95	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $83.18 / $151.36	Professional		$56.23	$83.18	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $35.48 / $57.54	Professional	26	$24.55	$35.48	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $50.12 / $95.50	Professional	TC	$30.90	$50.12	$95.50
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $36.31	Professional		$23.99	$32.36	$36.31
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 $42.66 / $64.57 / $134.90	Professional		$42.66	$64.57	$134.90
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 $15.85 / $20.89 / $57.54	Professional	TC	$15.85	$20.89	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $83.18 / $138.04	Professional		$60.26	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.20 / $58.88	Professional	26	$22.39	$30.20	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $52.48 / $81.28	Professional	TC	$35.48	$52.48	$81.28

Ohio rates for HCPCS 76604