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 $47.86 / $97.72 / $208.93	Facility	$47.86	$97.72	$208.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $57.54 / $100.00	Professional	$42.66	$57.54	$100.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $60.26 / $104.71	Facility	$52.48	$60.26	$104.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $29.51 / $79.43	Professional	$22.91	$29.51	$79.43
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $66.07 / $79.43	Facility	$45.71	$66.07	$79.43
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $69.18 / $77.62	Professional	$57.54	$69.18	$77.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $331.13	Facility	$56.23	$75.86	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $50.12 / $114.82	Professional	$26.30	$50.12	$114.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $74.13 / $602.56	Facility	$37.15	$74.13	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $30.90 / $128.82	Professional	$26.30	$30.90	$128.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $51.29 / $70.79	Professional	$42.66	$51.29	$70.79
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Facility	$69.18	$69.18	$69.18
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $64.57 / $131.83	Professional	$48.98	$64.57	$131.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $57.54 / $85.11	Facility	$51.29	$57.54	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.88 / $69.18	Professional	$23.99	$33.88	$69.18

Ohio rates for HCPCS 81243