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 $67.61 / $288.40 / $707.95	Facility		$67.61	$288.40	$707.95
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $45.71	Facility	26	$36.31	$36.31	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $102.33 / $467.74	Professional		$51.29	$102.33	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $47.86 / $173.78	Professional	26	$28.18	$47.86	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $37.15 / $186.21	Professional	TC	$21.88	$37.15	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $50.12 / $120.23	Professional		$42.66	$50.12	$120.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $32.36 / $52.48	Professional	26	$23.44	$32.36	$52.48
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $72.44 / $123.03	Facility		$47.86	$72.44	$123.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $89.13 / $93.33	Professional		$44.67	$89.13	$93.33
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $64.57	Professional	26	$47.86	$47.86	$64.57
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $87.10	Facility		$30.90	$42.66	$87.10
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $40.74 / $75.86	Professional		$28.18	$40.74	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $100.00 / $239.88	Professional		$50.12	$100.00	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.90 / $79.43	Professional	26	$24.55	$38.90	$79.43
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $44.67 / $154.88	Professional	TC	$22.39	$44.67	$154.88
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $288.40 / $758.58	Facility		$67.61	$288.40	$758.58
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $69.18	Facility	26	$36.31	$36.31	$69.18
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $97.72 / $281.84	Professional		$54.95	$97.72	$281.84
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $41.69 / $112.20	Professional	26	$27.54	$41.69	$112.20
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $41.69 / $186.21	Professional	TC	$25.70	$41.69	$186.21
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $245.47	Professional		$50.12	$85.11	$245.47
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $37.15 / $66.07	Professional	26	$24.55	$37.15	$66.07
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $35.48 / $151.36	Professional	TC	$22.39	$35.48	$151.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $83.18 / $141.25	Facility		$26.92	$83.18	$141.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $275.42	Professional		$57.54	$95.50	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $38.90 / $199.53	Professional	26	$30.20	$38.90	$199.53
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $52.48 / $181.97	Professional	TC	$25.70	$52.48	$181.97

Michigan rates for HCPCS 76942