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 $10.96 / $15.85 / $38.02	Facility	26	$10.96	$15.85	$38.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $87.10	Professional		$36.31	$41.69	$87.10
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.02 / $19.95	Professional	26	$10.96	$12.02	$19.95
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.84 / $45.71	Professional	TC	$23.99	$28.84	$45.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	26	$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $46.77 / $74.13	Professional		$38.02	$46.77	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.49 / $21.88	Professional	26	$10.96	$13.49	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $33.88 / $53.70	Professional	TC	$26.30	$33.88	$53.70
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $14.13	Professional		$12.59	$12.59	$14.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $91.20	Professional		$38.90	$54.95	$91.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.22 / $26.92	Professional	26	$12.02	$16.22	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $63.10	Professional	TC	$26.92	$38.02	$63.10
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $85.11	Professional		$38.90	$54.95	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.22 / $26.30	Professional	26	$11.75	$16.22	$26.30
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $60.26	Professional	TC	$26.92	$38.02	$60.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $32.36 / $33.11	Professional		$22.39	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $54.95 / $104.71	Professional		$44.67	$54.95	$104.71
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.79 / $28.18	Professional	26	$12.02	$14.79	$28.18
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $39.81 / $75.86	Professional	TC	$32.36	$39.81	$75.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $74.13	Professional		$33.11	$44.67	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.49 / $23.44	Professional	26	$10.00	$13.49	$23.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.90 / $51.29	Professional	TC	$22.39	$30.90	$51.29

Ohio rates for HCPCS 94728