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 $26.92 / $61.66 / $158.49	Facility		$26.92	$61.66	$158.49
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $3.72 / $4.47	Facility	26	$3.02	$3.72	$4.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $30.20 / $81.28	Professional		$18.62	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.63 / $19.50	Professional	26	$2.00	$3.63	$19.50
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $23.44 / $43.65	Professional	TC	$15.85	$23.44	$43.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $22.39 / $22.39	Professional		$21.88	$22.39	$22.39
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.16 / $3.16 / $3.16	Professional	26	$3.16	$3.16	$3.16
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $95.50 / $181.97	Facility		$40.74	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $37.15 / $43.65	Professional		$32.36	$37.15	$43.65
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.07 / $4.07 / $4.79	Professional	26	$4.07	$4.07	$4.79
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.47 / $21.38 / $33.88	Facility		$3.47	$21.38	$33.88
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $20.42 / $31.62	Professional		$3.31	$20.42	$31.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $31.62 / $72.44	Professional		$18.20	$31.62	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $4.68 / $11.75	Professional	26	$2.69	$4.68	$11.75
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $27.54 / $60.26	Professional	TC	$15.49	$27.54	$60.26
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $60.26 / $128.82	Facility		$25.70	$60.26	$128.82
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $4.47 / $11.22	Facility	26	$3.02	$4.47	$11.22
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $29.51 / $64.57	Professional		$20.89	$29.51	$64.57
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $4.07 / $10.72	Professional	26	$2.82	$4.07	$10.72
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $24.55 / $47.86	Professional	TC	$18.20	$24.55	$47.86
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $26.30 / $48.98	Professional		$18.20	$26.30	$48.98
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.75 / $3.98 / $10.96	Professional	26	$2.75	$3.98	$10.96
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $21.88 / $41.69	Professional	TC	$15.49	$21.88	$41.69
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $50.12 / $120.23	Facility		$14.13	$50.12	$120.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.30 / $53.70	Professional		$19.95	$26.30	$53.70
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $3.89 / $13.18	Professional	26	$2.95	$3.89	$13.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $21.88 / $40.74	Professional	TC	$16.60	$21.88	$40.74

Michigan rates for HCPCS 92285