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 $28.84 / $43.65 / $177.83	Professional		$28.84	$43.65	$177.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $23.44 / $70.79	Professional	26	$8.91	$23.44	$70.79
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $81.28	Professional	TC	$20.89	$33.11	$81.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $19.05 / $53.70	Professional		$16.22	$19.05	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $6.17 / $14.13	Professional	26	$5.01	$6.17	$14.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $16.98 / $43.65	Professional	TC	$14.13	$16.98	$43.65
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $47.86 / $97.72	Professional		$38.02	$47.86	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $14.79 / $26.30	Professional	26	$11.48	$14.79	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $33.88 / $63.10	Professional	TC	$26.92	$33.88	$63.10
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $30.90 / $69.18	Professional		$26.92	$30.90	$69.18
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $12.02 / $13.18	Professional	26	$10.47	$12.02	$13.18
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $22.39 / $51.29	Professional	TC	$19.50	$22.39	$51.29
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $32.36 / $52.48	Facility		$10.72	$32.36	$52.48
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $33.88 / $67.61	Professional		$10.47	$33.88	$67.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $42.66 / $83.18	Professional		$19.05	$42.66	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.25 / $11.22 / $21.88	Professional	26	$5.25	$11.22	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $29.51 / $56.23	Professional	TC	$13.80	$29.51	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $42.66 / $107.15	Professional		$16.60	$42.66	$107.15
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.25 / $15.49 / $33.11	Professional	26	$5.25	$15.49	$33.11
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $29.51 / $54.95	Professional	TC	$14.13	$29.51	$54.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $52.48 / $93.33	Professional		$40.74	$52.48	$93.33
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.49 / $21.38	Professional	26	$11.22	$15.49	$21.38
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.02 / $70.79	Professional	TC	$28.84	$38.02	$70.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $19.95 / $33.11	Facility		$13.18	$19.95	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $41.69 / $107.15	Professional		$23.44	$41.69	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $11.75 / $57.54	Professional	26	$6.61	$11.75	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $28.84 / $66.07	Professional	TC	$16.60	$28.84	$66.07

Ohio rates for HCPCS 88304