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 $53.70 / $72.44 / $104.71	Facility	26	$53.70	$72.44	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $389.05 / $794.33	Professional		$302.00	$389.05	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $72.44 / $134.90	Professional	26	$52.48	$72.44	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $323.59 / $588.84	Professional	TC	$251.19	$323.59	$588.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $371.54 / $478.63	Professional		$338.84	$371.54	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $57.54 / $74.13	Professional	26	$51.29	$57.54	$74.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $245.47 / $489.78	Professional		$165.96	$245.47	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $64.57 / $104.71	Professional	26	$47.86	$64.57	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $173.78 / $398.11	Professional	TC	$117.49	$173.78	$398.11
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $575.44 / $776.25	Professional		$346.74	$575.44	$776.25
Aultcare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $81.28 / $109.65	Professional	26	$52.48	$81.28	$109.65
Aultcare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $489.78 / $660.69	Professional	TC	$295.12	$489.78	$660.69
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $346.74 / $537.03	Professional		$61.66	$346.74	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $426.58 / $851.14	Professional		$263.03	$426.58	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $74.13 / $134.90	Professional	26	$51.29	$74.13	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $354.81 / $724.44	Professional	TC	$190.55	$354.81	$724.44
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $416.87 / $676.08	Professional		$190.55	$416.87	$676.08
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $75.86 / $134.90	Professional	26	$52.48	$75.86	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $363.08 / $602.56	Professional	TC	$213.80	$363.08	$602.56
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
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 $363.08 / $436.52 / $776.25	Professional		$363.08	$436.52	$776.25
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $67.61 / $112.20	Professional	26	$57.54	$67.61	$112.20
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $363.08 / $660.69	Professional	TC	$302.00	$363.08	$660.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $380.19 / $707.95	Professional		$223.87	$380.19	$707.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $69.18 / $123.03	Professional	26	$47.86	$69.18	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $316.23 / $588.84	Professional	TC	$186.21	$316.23	$588.84

Ohio rates for HCPCS 95816