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 $25.70 / $28.84 / $39.81	Professional		$25.70	$28.84	$39.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $23.99 / $32.36	Professional	26	$22.39	$23.99	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $6.03	Professional	TC	$3.02	$3.98	$6.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $45.71	Professional		$38.02	$38.02	$45.71
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $45.71	Professional		$25.12	$38.02	$45.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $32.36 / $38.90	Professional	26	$19.50	$32.36	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $5.25 / $13.49	Professional	TC	$2.00	$5.25	$13.49
MountainHealth Co-op Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $48.98 / $58.88	Professional		$42.66	$48.98	$58.88
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $46.77	Professional		$25.12	$39.81	$46.77
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $34.67 / $39.81	Professional	26	$19.50	$34.67	$39.81
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $5.75 / $13.49	Professional	TC	$2.00	$5.75	$13.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $50.12 / $81.28	Professional		$38.90	$50.12	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $39.81 / $46.77	Professional	26	$24.55	$39.81	$46.77
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.68 / $7.08 / $54.95	Professional	TC	$4.68	$7.08	$54.95

Montana rates for HCPCS 92542