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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $89.13 / $131.83	Facility	$87.10	$89.13	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $89.13 / $134.90	Professional	$26.92	$89.13	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $5.89 / $10.96	Professional	$5.89	$5.89	$10.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $7.24 / $17.78	Professional	$5.62	$7.24	$17.78
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $23.44 / $28.18	Facility	$18.62	$23.44	$28.18
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $20.42 / $29.51	Professional	$14.13	$20.42	$29.51
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.35 / $1.51 / $4.17	Facility	$0.35	$1.51	$4.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $13.18 / $45.71	Professional	$10.96	$13.18	$45.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.35 / $1.51 / $7.41	Facility	$0.35	$1.51	$7.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $12.59 / $32.36	Professional	$7.76	$12.59	$32.36
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $50.12 / $60.26	Professional	$30.20	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $13.49 / $28.18	Facility	$8.32	$13.49	$28.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $13.80 / $28.18	Professional	$9.55	$13.80	$28.18

Ohio rates for HCPCS 80365