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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $128.82 / $346.74	Professional		$97.72	$128.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $114.82 / $426.58	Professional	26	$52.48	$114.82	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $72.44 / $158.49	Professional	TC	$52.48	$72.44	$158.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $154.88	Professional		$77.62	$77.62	$154.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $47.86 / $89.13	Professional	26	$31.62	$47.86	$89.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $79.43	Professional	TC	$54.95	$54.95	$79.43
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $81.28 / $251.19	Professional		$63.10	$81.28	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $120.23	Professional	26	$30.20	$40.74	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $42.66 / $120.23	Professional	TC	$33.11	$42.66	$120.23
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $125.89 / $316.23	Professional		$109.65	$125.89	$316.23
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $72.44 / $128.82	Professional	26	$63.10	$72.44	$128.82
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $74.13 / $186.21	Professional	TC	$64.57	$74.13	$186.21
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $107.15 / $213.80	Facility		$64.57	$107.15	$213.80
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $123.03 / $218.78	Professional		$63.10	$123.03	$218.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $281.84	Facility		$199.53	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $131.83 / $263.03	Professional		$74.13	$131.83	$263.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $63.10 / $125.89	Professional	26	$31.62	$63.10	$125.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $56.23 / $151.36	Professional	TC	$34.67	$56.23	$151.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $114.82 / $257.04	Professional		$69.18	$114.82	$257.04
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $87.10 / $158.49	Professional	26	$31.62	$87.10	$158.49
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $51.29 / $147.91	Professional	TC	$37.15	$51.29	$147.91
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $204.17 / $281.84	Professional		$165.96	$204.17	$281.84
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $89.13 / $114.82	Professional	26	$67.61	$89.13	$114.82
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $114.82 / $165.96	Professional	TC	$91.20	$114.82	$165.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $72.44 / $125.89	Facility		$50.12	$72.44	$125.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $147.91 / $302.00	Professional		$79.43	$147.91	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $72.44 / $147.91	Professional	26	$40.74	$72.44	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $75.86 / $177.83	Professional	TC	$39.81	$75.86	$177.83

Ohio rates for HCPCS 88173