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 $56.23 / $56.23 / $70.79	Facility	26	$56.23	$56.23	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $208.93 / $645.65	Professional		$112.20	$208.93	$645.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $85.11 / $245.47	Professional	26	$42.66	$85.11	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $91.20 / $239.88	Professional	TC	$61.66	$91.20	$239.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $208.93	Professional		$85.11	$109.65	$208.93
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $83.18	Professional	26	$37.15	$51.29	$83.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $173.78 / $186.21	Professional		$104.71	$173.78	$186.21
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	26	$74.13	$74.13	$74.13
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	TC	$112.20	$112.20	$112.20
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $83.18 / $144.54	Professional		$47.86	$83.18	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $147.91 / $316.23	Professional		$93.33	$147.91	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $58.88 / $123.03	Professional	26	$38.02	$58.88	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $89.13 / $204.17	Professional	TC	$57.54	$89.13	$204.17
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $100.00	Facility	26	$56.23	$56.23	$100.00
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $162.18 / $478.63	Professional		$109.65	$162.18	$478.63
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $63.10 / $169.82	Professional	26	$42.66	$63.10	$169.82
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $87.10 / $181.97	Professional	TC	$64.57	$87.10	$181.97
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $218.78	Professional		$93.33	$141.25	$218.78
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $54.95 / $97.72	Professional	26	$38.02	$54.95	$97.72
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $79.43 / $154.88	Professional	TC	$57.54	$79.43	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $138.04 / $354.81	Professional		$95.50	$138.04	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $58.88 / $295.12	Professional	26	$45.71	$58.88	$295.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $87.10 / $263.03	Professional	TC	$69.18	$87.10	$263.03

Michigan rates for HCPCS 76801