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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $12.88 / $41.69	Facility	26	$10.00	$12.88	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $97.72	Professional		$28.18	$38.90	$97.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.14 / $38.90	Professional	26	$8.91	$15.14	$38.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $21.88 / $42.66	Professional	TC	$18.20	$21.88	$42.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $32.36 / $43.65	Professional		$24.55	$32.36	$43.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.59 / $18.62	Professional	26	$8.51	$12.59	$18.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $41.69 / $69.18	Professional		$32.36	$41.69	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.98 / $28.18	Professional	26	$12.59	$16.98	$28.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $23.99 / $40.74	Professional	TC	$18.62	$23.99	$40.74
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $11.22	Professional	26	$11.22	$11.22	$11.22
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional	TC	$21.88	$21.88	$21.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $23.44 / $42.66	Professional		$10.72	$23.44	$42.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $40.74 / $72.44	Professional		$28.84	$40.74	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $15.85 / $28.18	Professional	26	$10.23	$15.85	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.70 / $44.67	Professional	TC	$18.20	$25.70	$44.67
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.51 / $11.75 / $16.98	Facility	26	$2.51	$11.75	$16.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $61.66	Professional		$28.18	$39.81	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.49 / $26.92	Professional	26	$10.00	$15.49	$26.92
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.12 / $38.02	Professional	TC	$18.20	$25.12	$38.02
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $40.74 / $67.61	Professional		$33.11	$40.74	$67.61
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $13.80 / $22.91	Professional	26	$11.22	$13.80	$22.91
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $44.67	Professional	TC	$21.88	$26.92	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $72.44	Professional		$30.90	$39.81	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.85 / $28.18	Professional	26	$11.22	$15.85	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $24.55 / $43.65	Professional	TC	$18.62	$24.55	$43.65

Ohio rates for HCPCS 91200