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 $91.20 / $190.55 / $467.74	Facility		$91.20	$190.55	$467.74
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $48.98	Facility	26	$38.90	$38.90	$48.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $114.82 / $426.58	Professional		$57.54	$114.82	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $61.66 / $181.97	Professional	26	$30.20	$61.66	$181.97
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $229.09 / $707.95	Professional	50	$74.13	$229.09	$707.95
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $61.66 / $239.88	Professional	TC	$44.67	$61.66	$239.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $70.79 / $89.13	Professional		$60.26	$70.79	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.02 / $56.23	Professional	26	$27.54	$38.02	$56.23
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $97.72 / $245.47	Professional	50	$93.33	$97.72	$245.47
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $239.88	Facility		$87.10	$131.83	$239.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $134.90 / $251.19	Professional		$125.89	$134.90	$251.19
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	26	$51.29	$51.29	$51.29
BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	50	$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $64.57 / $123.03	Facility		$38.02	$64.57	$123.03
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $61.66 / $104.71	Professional		$33.11	$61.66	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $229.09	Professional		$66.07	$102.33	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $40.74 / $83.18	Professional	26	$26.30	$40.74	$83.18
Cigna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $104.71 / $128.82 / $194.98	Professional	50	$104.71	$128.82	$194.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $64.57 / $144.54	Professional	TC	$40.74	$64.57	$144.54
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $204.17 / $478.63	Facility		$97.72	$204.17	$478.63
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $66.07	Facility	26	$38.90	$38.90	$66.07
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $302.00	Professional		$67.61	$102.33	$302.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $44.67 / $120.23	Professional	26	$28.84	$44.67	$120.23
Health Alliance Plan Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $229.09 / $724.44	Professional	50	$77.62	$229.09	$724.44
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $61.66 / $141.25	Professional	TC	$43.65	$61.66	$141.25
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $93.33 / $158.49	Professional		$66.07	$93.33	$158.49
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.90 / $60.26	Professional	26	$26.30	$38.90	$60.26
Priority Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $104.71 / $128.82 / $194.98	Professional	50	$104.71	$128.82	$194.98
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $56.23 / $100.00	Professional	TC	$40.74	$56.23	$100.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $81.28 / $229.09	Facility		$60.26	$81.28	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $97.72 / $218.78	Professional		$79.43	$97.72	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $40.74 / $190.55	Professional	26	$32.36	$40.74	$190.55
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	50	$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $60.26 / $151.36	Professional	TC	$48.98	$60.26	$151.36

Michigan rates for HCPCS 76642