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 $12.88 / $15.85 / $44.67	Facility	26	$12.88	$15.85	$44.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $42.66 / $112.20	Professional		$34.67	$42.66	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.14 / $39.81	Professional	26	$12.88	$15.14	$39.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.12 / $41.69	Professional	TC	$20.89	$25.12	$41.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $37.15 / $47.86	Professional		$32.36	$37.15	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.38 / $21.88	Professional	26	$10.96	$17.38	$21.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $43.65 / $69.18	Professional		$34.67	$43.65	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $17.78 / $27.54	Professional	26	$14.13	$17.78	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $26.30 / $41.69	Professional	TC	$21.38	$26.30	$41.69
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $30.90 / $54.95	Professional		$15.49	$30.90	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $50.12 / $87.10	Professional		$35.48	$50.12	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.05 / $31.62	Professional	26	$13.80	$19.05	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $56.23	Professional	TC	$21.88	$30.20	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $48.98 / $74.13	Professional		$33.88	$48.98	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.05 / $30.20	Professional	26	$13.80	$19.05	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.20 / $46.77	Professional	TC	$22.39	$30.20	$46.77
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $32.36 / $33.11	Professional		$12.02	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $91.20	Professional		$37.15	$47.86	$91.20
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $17.38 / $32.36	Professional	26	$14.79	$17.38	$32.36
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $30.90 / $58.88	Professional	TC	$23.99	$30.90	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $40.74 / $69.18	Professional		$29.51	$40.74	$69.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.85 / $26.92	Professional	26	$11.48	$15.85	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $25.12 / $42.66	Professional	TC	$18.62	$25.12	$42.66

Ohio rates for HCPCS 94375