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 Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $30.20 / $46.77	Professional		$22.39	$30.20	$46.77
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $23.99 / $32.36	Professional	26	$15.85	$23.99	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $28.84	Professional	TC	$3.02	$3.98	$28.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $42.66 / $60.26	Professional		$26.30	$42.66	$60.26
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $37.15 / $51.29	Professional	26	$22.91	$37.15	$51.29
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $5.89 / $8.32	Professional	TC	$3.63	$5.89	$8.32
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $47.86 / $75.86	Professional		$20.42	$47.86	$75.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $42.66 / $66.07	Professional	26	$16.98	$42.66	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.48 / $6.17 / $13.18	Professional	TC	$1.48	$6.17	$13.18
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $52.48 / $302.00	Professional		$26.92	$52.48	$302.00
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $39.81 / $154.88	Professional	26	$19.50	$39.81	$154.88
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.89 / $7.41 / $213.80	Professional	TC	$3.89	$7.41	$213.80
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $61.66 / $74.13	Professional		$56.23	$61.66	$74.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $54.95 / $66.07	Professional	26	$48.98	$54.95	$66.07
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.62 / $7.59 / $9.33	Professional	TC	$5.62	$7.59	$9.33
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $64.57 / $70.79	Professional		$57.54	$64.57	$70.79
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $56.23 / $61.66	Professional	26	$48.98	$56.23	$61.66
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.94 / $8.32 / $9.12	Professional	TC	$7.94	$8.32	$9.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $50.12 / $74.13	Professional		$25.70	$50.12	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $39.81 / $60.26	Professional	26	$21.38	$39.81	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $6.61 / $34.67	Professional	TC	$3.72	$6.61	$34.67

Nebraska rates for HCPCS 92542