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 $77.62 / $114.82 / $245.47	Facility	26	$77.62	$114.82	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $295.12	Professional		$134.90	$162.18	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $194.98	Professional	26	$72.44	$85.11	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $81.28 / $141.25	Professional	TC	$57.54	$81.28	$141.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $81.28 / $104.71	Professional	26	$74.13	$81.28	$104.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $95.50 / $158.49	Professional	26	$70.79	$95.50	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $41.69 / $93.33	Professional	TC	$28.84	$41.69	$93.33
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $190.55	Professional		$72.44	$102.33	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $398.11	Professional		$131.83	$186.21	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $107.15 / $194.98	Professional	26	$72.44	$107.15	$194.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $87.10 / $186.21	Professional	TC	$45.71	$87.10	$186.21
Medical Mutual of Ohio Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $89.13 / $128.82	Facility	26	$19.50	$89.13	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $316.23	Professional		$128.82	$181.97	$316.23
Medical Mutual of Ohio Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $104.71 / $165.96	Professional	26	$69.18	$104.71	$165.96
Medical Mutual of Ohio Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $87.10 / $158.49	Professional	TC	$51.29	$87.10	$158.49
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
SummaCare Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $186.21 / $354.81	Professional		$151.36	$186.21	$354.81
SummaCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $181.97	Professional	26	$79.43	$97.72	$181.97
SummaCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $91.20 / $169.82	Professional	TC	$70.79	$91.20	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $177.83 / $323.59	Professional		$114.82	$177.83	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $97.72 / $169.82	Professional	26	$67.61	$97.72	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $89.13 / $158.49	Professional	TC	$45.71	$89.13	$158.49

Ohio rates for HCPCS 95861