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 $47.86 / $47.86 / $51.29	Facility	26	$47.86	$47.86	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $194.98 / $630.96	Professional		$97.72	$194.98	$630.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $74.13 / $239.88	Professional	26	$36.31	$74.13	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $251.19	Professional	TC	$56.23	$87.10	$251.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $194.98	Professional		$74.13	$104.71	$194.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $41.69 / $74.13	Professional	26	$32.36	$41.69	$74.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $64.57 / $117.49	Professional	TC	$64.57	$64.57	$117.49
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $162.18 / $173.78	Professional		$102.33	$162.18	$173.78
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $109.65 / $147.91	Professional	TC	$109.65	$109.65	$147.91
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $81.28 / $138.04	Professional		$41.69	$81.28	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $134.90 / $295.12	Professional		$87.10	$134.90	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $51.29 / $107.15	Professional	26	$31.62	$51.29	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $81.28 / $199.53	Professional	TC	$50.12	$81.28	$199.53
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $91.20	Facility	26	$47.86	$47.86	$91.20
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $154.88 / $398.11	Professional		$95.50	$154.88	$398.11
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $57.54 / $162.18	Professional	26	$36.31	$57.54	$162.18
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $81.28 / $173.78	Professional	TC	$60.26	$81.28	$173.78
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $190.55	Professional		$87.10	$125.89	$190.55
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $46.77 / $85.11	Professional	26	$29.51	$46.77	$85.11
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $70.79 / $151.36	Professional	TC	$46.77	$70.79	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $123.03 / $331.13	Professional		$93.33	$123.03	$331.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $52.48 / $257.04	Professional	26	$39.81	$52.48	$257.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $81.28 / $245.47	Professional	TC	$61.66	$81.28	$245.47

Michigan rates for HCPCS 76816