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 Professional Modifier Typical Low / Median / Typical High $7.76 / $12.88 / $47.86	Professional	$7.76	$12.88	$47.86
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $50.12 / $87,096.36	Facility	$19.50	$50.12	$87,096.36
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Professional	$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $24.55 / $83.18	Facility	$20.89	$24.55	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $16.98 / $21.38	Professional	$5.75	$16.98	$21.38
MountainHealth Co-op Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $18.20 / $43.65	Facility	$14.45	$18.20	$43.65
MountainHealth Co-op Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $18.20 / $43.65	Professional	$14.45	$18.20	$43.65
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $24.55 / $83.18	Facility	$12.30	$24.55	$83.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $20.89	Professional	$12.88	$12.88	$20.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Facility	$14.45	$14.45	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $6.03 / $11.75	Professional	$4.90	$6.03	$11.75

Montana rates for HCPCS 85385