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 Professional Modifier Typical Low / Median / Typical High $23.99 / $28.84 / $45.71	Professional		$23.99	$28.84	$45.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $23.99 / $32.36	Professional	26	$19.05	$23.99	$32.36
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	52	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $26.92	Professional	TC	$3.02	$3.98	$26.92
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $42.66 / $46.77	Professional		$33.88	$42.66	$46.77
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.90 / $123.03	Professional		$20.42	$30.90	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $24.55 / $107.15	Professional	26	$17.38	$24.55	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.48 / $3.80 / $34.67	Professional	TC	$1.48	$3.80	$34.67
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.11 / $47.86	Professional		$26.92	$33.11	$47.86
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $25.12 / $32.36	Professional	26	$16.60	$25.12	$32.36
Health Alliance Plan Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	52	$47.86	$47.86	$47.86
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $26.92	Professional	TC	$3.02	$3.98	$26.92
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $26.92 / $53.70	Professional		$20.42	$26.92	$53.70
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $21.38 / $42.66	Professional	26	$18.62	$21.38	$42.66
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.12 / $3.39 / $33.88	Professional	TC	$1.12	$3.39	$33.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $63.10	Professional		$25.70	$34.67	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $23.44 / $33.11	Professional	26	$16.60	$23.44	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.47 / $5.50 / $41.69	Professional	TC	$3.47	$5.50	$41.69

Michigan rates for HCPCS 92542