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 $12.88 / $16.98 / $41.69	Professional		$12.88	$16.98	$41.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $24.55 / $63.10	Professional	26	$8.91	$24.55	$63.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.01 / $6.92 / $12.88	Professional	TC	$5.01	$6.92	$12.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $8.32 / $15.49	Professional	26	$5.50	$8.32	$15.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $5.25 / $5.25	Professional	TC	$5.25	$5.25	$5.25
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $11.75 / $33.88	Professional		$9.12	$11.75	$33.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $7.24 / $21.38	Professional	26	$5.37	$7.24	$21.38
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $4.79 / $11.22	Professional	TC	$3.72	$4.79	$11.22
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $15.14 / $38.02	Professional		$13.18	$15.14	$38.02
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $13.18 / $22.39	Professional	26	$11.22	$13.18	$22.39
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $6.03 / $15.49	Professional	TC	$5.25	$6.03	$15.49
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $13.18 / $25.70	Facility		$7.59	$13.18	$25.70
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $15.14 / $26.92	Professional		$7.41	$15.14	$26.92
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $38.90	Facility		$17.78	$17.78	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $18.62 / $37.15	Professional		$9.33	$18.62	$37.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $11.22 / $22.91	Professional	26	$5.62	$11.22	$22.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $6.17 / $13.80	Professional	TC	$3.72	$6.17	$13.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $18.20 / $37.15	Professional		$9.33	$18.20	$37.15
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $16.60 / $32.36	Professional	26	$5.62	$16.60	$32.36
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $5.62 / $12.30	Professional	TC	$3.72	$5.62	$12.30
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 $19.50 / $25.70 / $43.65	Professional		$19.50	$25.70	$43.65
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.14 / $25.70	Professional	26	$11.75	$15.14	$25.70
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.94 / $9.55 / $17.78	Professional	TC	$7.94	$9.55	$17.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $10.23 / $18.20	Facility		$7.24	$10.23	$18.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $20.89 / $43.65	Professional		$11.22	$20.89	$43.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.59 / $63.10	Professional	26	$7.08	$12.59	$63.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $7.94 / $14.45	Professional	TC	$3.63	$7.94	$14.45

Ohio rates for HCPCS 88311