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 $43.65 / $43.65 / $45.71	Facility	26	$43.65	$43.65	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $346.74 / $812.83	Professional		$251.19	$346.74	$812.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $54.95 / $117.49	Professional	26	$33.11	$54.95	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $302.00 / $478.63	Professional	TC	$218.78	$302.00	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $48.98 / $52.48	Professional	26	$47.86	$48.98	$52.48
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $446.68 / $467.74	Professional		$389.05	$446.68	$467.74
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Professional	26	$58.88	$58.88	$58.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $524.81 / $602.56	Professional		$83.18	$524.81	$602.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $346.74 / $630.96	Professional		$229.09	$346.74	$630.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $43.65 / $81.28	Professional	26	$26.30	$43.65	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $416.87 / $575.44	Professional	TC	$208.93	$416.87	$575.44
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $83.18	Facility	26	$43.65	$43.65	$83.18
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $346.74 / $575.44	Professional		$229.09	$346.74	$575.44
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $43.65 / $109.65	Professional	26	$32.36	$43.65	$109.65
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $302.00 / $501.19	Professional	TC	$199.53	$302.00	$501.19
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $346.74 / $630.96	Professional		$223.87	$346.74	$630.96
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $60.26 / $81.28	Professional	26	$34.67	$60.26	$81.28
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $436.52 / $575.44	Professional	TC	$239.88	$436.52	$575.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $309.03 / $457.09	Professional		$229.09	$309.03	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $41.69 / $57.54	Professional	26	$35.48	$41.69	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $275.42 / $398.11	Professional	TC	$204.17	$275.42	$398.11

Michigan rates for HCPCS 78264