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 Typical Low / Median / Typical High $8.32 / $15.85 / $67.61	Facility		$8.32	$15.85	$67.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.02 / $30.90	Professional		$7.94	$12.02	$30.90
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.77 / $25.12 / $28.18	Professional	CQ	$9.77	$25.12	$28.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $10.72	Professional		$9.33	$9.33	$10.72
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Professional	CQ	$10.96	$10.96	$10.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $11.75 / $20.89	Professional		$8.71	$11.75	$20.89
Aultcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $9.55 / $10.96	Professional		$9.55	$9.55	$10.96
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $15.49 / $18.62	Facility		$13.49	$15.49	$18.62
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $15.49 / $32.36	Professional		$13.80	$15.49	$32.36
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $64.57 / $141.25	Facility		$23.44	$64.57	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $19.05 / $28.18	Professional		$11.75	$19.05	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $67.61 / $109.65	Facility		$41.69	$67.61	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $16.60 / $27.54	Professional		$9.33	$16.60	$27.54
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Professional	CQ	$15.14	$15.14	$15.14
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $32.36 / $33.11	Professional		$13.18	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $16.98 / $23.44	Professional		$13.18	$16.98	$23.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $14.45 / $15.85	Facility		$11.48	$14.45	$15.85
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $13.18 / $18.62	Professional		$10.47	$13.18	$18.62

Ohio rates for HCPCS 97012