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 $42.66 / $42.66 / $53.70	Facility	26	$42.66	$42.66	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $154.88 / $537.03	Professional		$77.62	$154.88	$537.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $63.10 / $199.53	Professional	26	$33.11	$63.10	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $60.26 / $141.25	Professional	TC	$39.81	$60.26	$141.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $151.36	Professional		$70.79	$83.18	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $37.15 / $63.10	Professional	26	$28.18	$37.15	$63.10
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	TC	$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $128.82 / $138.04	Professional		$74.13	$128.82	$138.04
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $77.62	Professional	26	$57.54	$57.54	$77.62
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $79.43 / $79.43	Professional	TC	$67.61	$79.43	$79.43
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $58.88 / $107.15	Professional		$37.15	$58.88	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $112.20 / $223.87	Professional		$69.18	$112.20	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $45.71 / $97.72	Professional	26	$29.51	$45.71	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $66.07 / $138.04	Professional	TC	$40.74	$66.07	$138.04
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $81.28	Facility	26	$42.66	$42.66	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $263.03	Professional		$75.86	$114.82	$263.03
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $48.98 / $128.82	Professional	26	$33.11	$48.98	$128.82
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $60.26 / $120.23	Professional	TC	$42.66	$60.26	$120.23
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $102.33 / $169.82	Professional		$69.18	$102.33	$169.82
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $41.69 / $75.86	Professional	26	$29.51	$41.69	$75.86
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $56.23 / $104.71	Professional	TC	$40.74	$56.23	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $97.72 / $165.96	Professional		$81.28	$97.72	$165.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $229.09	Professional	26	$35.48	$46.77	$229.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $56.23 / $95.50	Professional	TC	$44.67	$56.23	$95.50

Michigan rates for HCPCS 76819