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 26 Typical Low / Median / Typical High $15.85 / $15.85 / $16.60	Facility	26	$15.85	$15.85	$16.60
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $41.69 / $114.82	Professional		$33.88	$41.69	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $15.14 / $40.74	Professional	26	$12.59	$15.14	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.12 / $39.81	Professional	TC	$20.89	$25.12	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $39.81 / $45.71	Professional		$32.36	$39.81	$45.71
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.98 / $27.54	Professional	26	$12.88	$16.98	$27.54
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $58.88 / $61.66	Professional		$37.15	$58.88	$61.66
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	26	$22.39	$22.39	$22.39
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $30.90 / $56.23	Professional		$16.98	$30.90	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $46.77 / $93.33	Professional		$35.48	$46.77	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.38 / $32.36	Professional	26	$13.49	$17.38	$32.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $28.84 / $58.88	Professional	TC	$21.38	$28.84	$58.88
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $16.60 / $41.69	Facility	26	$14.45	$16.60	$41.69
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $43.65 / $91.20	Professional		$34.67	$43.65	$91.20
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.22 / $36.31	Professional	26	$12.88	$16.22	$36.31
Health Alliance Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $48.98	Professional	TC	$21.88	$26.92	$48.98
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $44.67 / $66.07	Professional		$33.88	$44.67	$66.07
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $16.98 / $25.70	Professional	26	$13.18	$16.98	$25.70
Priority Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $27.54 / $40.74	Professional	TC	$21.38	$27.54	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $42.66 / $63.10	Professional		$33.88	$42.66	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.60 / $25.12	Professional	26	$12.88	$16.60	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $26.30 / $38.90	Professional	TC	$20.89	$26.30	$38.90

Michigan rates for HCPCS 94375