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 Typical Low / Median / Typical High $43.65 / $169.82 / $407.38	Facility		$43.65	$169.82	$407.38
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $24.55 / $64.57	Facility	26	$16.98	$24.55	$64.57
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $14.79 / $19.05 / $416.87	Facility	TC	$14.79	$19.05	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $58.88 / $144.54	Professional		$30.20	$58.88	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $27.54 / $60.26	Professional	26	$16.98	$27.54	$60.26
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $89.13 / $95.50	Professional	50	$77.62	$89.13	$95.50
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $41.69 / $60.26	Professional	52	$38.02	$41.69	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $23.99 / $87.10	Professional	TC	$12.88	$23.99	$87.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $48.98	Professional		$32.36	$34.67	$48.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $26.92	Professional	26	$19.05	$19.05	$26.92
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $7.76 / $8.32 / $10.47	Professional	52	$7.76	$8.32	$10.47
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $12.59 / $14.79	Professional	TC	$12.59	$12.59	$14.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $72.44 / $128.82	Professional		$45.71	$72.44	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.70 / $45.71	Professional	26	$19.05	$25.70	$45.71
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $107.15 / $194.98	Professional	50	$67.61	$107.15	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $46.77 / $85.11	Professional	TC	$21.88	$46.77	$85.11
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $26.30 / $56.23	Facility		$16.22	$26.30	$56.23
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $25.70 / $50.12	Professional		$15.85	$25.70	$50.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $63.10 / $79.43	Facility		$30.90	$63.10	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $67.61 / $128.82	Professional		$33.88	$67.61	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $27.54 / $47.86	Professional	26	$18.20	$27.54	$47.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $35.48 / $79.43	Professional	TC	$15.14	$35.48	$79.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $186.21 / $295.12	Facility		$91.20	$186.21	$295.12
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.01 / $22.91 / $33.11	Facility	26	$5.01	$22.91	$33.11
Medical Mutual of Ohio Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	TC	$3.80	$17.78	$25.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $57.54 / $120.23	Professional		$33.11	$57.54	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $26.92 / $42.66	Professional	26	$16.98	$26.92	$42.66
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $26.30 / $77.62	Professional	TC	$14.45	$26.30	$77.62
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $32.36 / $33.11	Professional		$12.30	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
SummaCare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	TC	$162.18	$162.18	$162.18
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $45.71 / $81.28	Professional		$37.15	$45.71	$81.28
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $25.70 / $45.71	Professional	26	$20.89	$25.70	$45.71
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $19.50 / $50.12	Professional	TC	$16.22	$19.50	$50.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $74.13 / $416.87	Facility		$22.91	$74.13	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $102.33	Professional		$36.31	$54.95	$102.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $23.44 / $40.74	Professional	26	$17.78	$23.44	$40.74
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $28.84 / $63.10	Professional	TC	$16.98	$28.84	$63.10

Ohio rates for HCPCS 92250