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 $5.37 / $13.49 / $42.66	Facility	$5.37	$13.49	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.37 / $10.00	Professional	$3.98	$5.37	$10.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $4.57 / $4.57	Professional	$4.57	$4.57	$4.57
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $6.92 / $12.02	Facility	$6.03	$6.92	$12.02
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.98 / $8.51	Professional	$3.24	$3.98	$8.51
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $5.25 / $5.25	Professional	$5.25	$5.25	$5.25
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.47 / $4.47 / $7.59	Facility	$4.47	$4.47	$7.59
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional	$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $8.51 / $26.92	Facility	$4.27	$8.51	$26.92
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $4.27 / $12.30	Professional	$3.31	$4.27	$12.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $6.76 / $26.92	Facility	$4.27	$6.76	$26.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $5.25 / $10.96	Professional	$3.31	$5.25	$10.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $5.89 / $8.13	Professional	$4.90	$5.89	$8.13
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Facility	$7.76	$7.76	$7.76
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $6.92 / $13.18	Professional	$4.57	$6.92	$13.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.24 / $6.46 / $9.77	Facility	$3.24	$6.46	$9.77
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.75 / $3.89 / $7.76	Professional	$2.75	$3.89	$7.76

Ohio rates for HCPCS 85420