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 $83.18 / $309.03 / $645.65	Facility		$83.18	$309.03	$645.65
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $112.20	Facility	26	$31.62	$42.66	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $95.50 / $316.23	Professional		$48.98	$95.50	$316.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $57.54 / $131.83	Professional	26	$30.20	$57.54	$131.83
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $173.78 / $691.83	Professional	50	$67.61	$173.78	$691.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $58.88 / $147.91	Professional	TC	$42.66	$58.88	$147.91
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $102.33	Professional		$57.54	$67.61	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $28.84 / $53.70	Professional	26	$24.55	$28.84	$53.70
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $93.33 / $95.50	Professional	50	$85.11	$93.33	$95.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $45.71 / $51.29	Professional	TC	$39.81	$45.71	$51.29
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $213.80 / $223.87	Facility		$190.55	$213.80	$223.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $104.71 / $158.49	Professional		$83.18	$104.71	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $40.74 / $63.10	Professional	26	$33.11	$40.74	$63.10
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $154.88 / $239.88	Professional	50	$125.89	$154.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $63.10 / $95.50	Professional	TC	$50.12	$63.10	$95.50
Aultcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $95.50 / $158.49	Professional		$91.20	$95.50	$158.49
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.02 / $61.66	Professional	26	$36.31	$38.02	$61.66
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $58.88 / $95.50	Professional	TC	$54.95	$58.88	$95.50
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $60.26 / $125.89	Facility		$34.67	$60.26	$125.89
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $56.23 / $107.15	Professional		$33.11	$56.23	$107.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $229.09 / $295.12	Facility		$147.91	$229.09	$295.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $177.83	Professional		$72.44	$107.15	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $42.66 / $72.44	Professional	26	$28.84	$42.66	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $66.07 / $112.20	Professional	TC	$44.67	$66.07	$112.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $288.40 / $616.60	Facility		$125.89	$288.40	$616.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $177.83	Professional		$70.79	$104.71	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $45.71 / $85.11	Professional	26	$28.84	$45.71	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $47.86 / $87.10 / $102.33	Professional	50	$47.86	$87.10	$102.33
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $66.07 / $104.71	Professional	TC	$44.67	$66.07	$104.71
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $33.11 / $43.65	Professional		$29.51	$33.11	$43.65
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $125.89	Facility		$107.15	$107.15	$125.89
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $50.12 / $50.12 / $107.15	Facility	26	$50.12	$50.12	$107.15
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $104.71 / $181.97	Professional		$83.18	$104.71	$181.97
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $41.69 / $70.79	Professional	26	$32.36	$41.69	$70.79
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $63.10 / $109.65	Professional	TC	$50.12	$63.10	$109.65
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $69.18 / $208.93	Facility		$48.98	$69.18	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $93.33 / $162.18	Professional		$69.18	$93.33	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.02 / $77.62	Professional	26	$27.54	$38.02	$77.62
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $125.89 / $125.89	Professional	50	$123.03	$125.89	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $56.23 / $97.72	Professional	TC	$41.69	$56.23	$97.72

Ohio rates for HCPCS 76642