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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $53.70 / $97.72	Facility	$29.51	$53.70	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.88 / $83.18	Professional	$28.18	$33.88	$83.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $38.90 / $67.61	Facility	$33.88	$38.90	$67.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $18.62 / $51.29	Professional	$14.79	$18.62	$51.29
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $41.69 / $51.29	Facility	$29.51	$41.69	$51.29
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $43.65 / $48.98	Professional	$36.31	$43.65	$48.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $47.86 / $186.21	Facility	$35.48	$47.86	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $33.11 / $72.44	Professional	$16.60	$33.11	$72.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $125.89	Facility	$23.99	$23.99	$125.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $19.95 / $83.18	Professional	$16.60	$19.95	$83.18
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $33.11 / $45.71	Professional	$27.54	$33.11	$45.71
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Facility	$43.65	$43.65	$43.65
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $40.74 / $85.11	Professional	$30.90	$40.74	$85.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $36.31 / $54.95	Facility	$22.39	$36.31	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $21.88 / $43.65	Professional	$15.49	$21.88	$43.65

Ohio rates for HCPCS 81242