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 $27.54 / $27.54 / $34.67	Facility	26	$27.54	$27.54	$34.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $83.18 / $295.12	Professional		$39.81	$83.18	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $42.66 / $134.90	Professional	26	$20.89	$42.66	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $24.55 / $57.54	Professional	TC	$16.98	$24.55	$57.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $42.66 / $81.28	Professional		$40.74	$42.66	$81.28
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $23.44 / $40.74	Professional	26	$18.20	$23.44	$40.74
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $66.07 / $70.79	Professional		$34.67	$66.07	$70.79
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $50.12	Professional	26	$37.15	$37.15	$50.12
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.11 / $33.11	Professional	TC	$28.18	$33.11	$33.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.90 / $56.23	Professional		$20.42	$30.90	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $63.10 / $141.25	Professional		$38.02	$63.10	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $30.20 / $61.66	Professional	26	$19.05	$30.20	$61.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $74.13	Professional	TC	$19.05	$30.20	$74.13
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $27.54 / $56.23	Facility	26	$26.92	$27.54	$56.23
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $177.83	Professional		$38.90	$60.26	$177.83
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $30.90 / $85.11	Professional	26	$20.42	$30.90	$85.11
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $24.55 / $52.48	Professional	TC	$16.98	$24.55	$52.48
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $58.88 / $125.89	Professional		$37.15	$58.88	$125.89
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $28.18 / $48.98	Professional	26	$19.05	$28.18	$48.98
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.12 / $63.10	Professional	TC	$18.20	$25.12	$63.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $54.95 / $100.00	Professional		$43.65	$54.95	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $151.36	Professional	26	$22.91	$30.90	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $25.70 / $64.57	Professional	TC	$19.95	$25.70	$64.57

Michigan rates for HCPCS 76820