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 $41.69 / $83.18 / $177.83	Professional		$41.69	$83.18	$177.83
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $58.88 / $100.00 / $199.53	Professional	25	$58.88	$100.00	$199.53
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $85.11 / $100.00	Professional		$52.48	$85.11	$100.00
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $81.28 / $81.28 / $85.11	Professional	25	$81.28	$81.28	$85.11
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $61.66 / $125.89	Professional		$33.11	$61.66	$125.89
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $61.66	Facility		$37.15	$47.86	$61.66
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $83.18 / $109.65	Professional		$79.43	$83.18	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $72.44 / $138.04	Professional		$40.74	$72.44	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $70.79 / $128.82	Professional		$41.69	$70.79	$128.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $32.36 / $39.81	Professional		$18.20	$32.36	$39.81
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $89.13 / $131.83	Professional		$42.66	$89.13	$131.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $57.54 / $100.00	Professional		$35.48	$57.54	$100.00
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	25	$104.71	$104.71	$104.71

Ohio rates for HCPCS 92012