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 $6.92 / $12.88 / $64.57	Facility		$6.92	$12.88	$64.57
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $18.20 / $95.50 / $660.69	Facility	CQ	$18.20	$95.50	$660.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $10.00 / $19.95	Professional		$6.92	$10.00	$19.95
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.94 / $15.14 / $30.20	Professional	CQ	$7.94	$15.14	$30.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $12.02 / $19.95	Professional		$9.12	$12.02	$19.95
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $9.12	Professional		$7.76	$7.76	$9.12
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $12.59 / $15.14	Facility		$10.96	$12.59	$15.14
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $12.59 / $26.30	Professional		$11.22	$12.59	$26.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $64.57 / $141.25	Facility		$19.50	$64.57	$141.25
Cigna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Facility	CQ	$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $15.85 / $27.54	Professional		$9.55	$15.85	$27.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $60.26 / $120.23	Facility		$22.91	$60.26	$120.23
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Facility	CQ	$16.60	$16.60	$16.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $13.80 / $31.62	Professional		$7.59	$13.80	$31.62
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $8.13 / $13.80 / $15.85	Professional	CQ	$8.13	$13.80	$15.85
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 Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $14.13 / $23.44	Professional		$12.02	$14.13	$23.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $12.02 / $13.49	Facility		$9.55	$12.02	$13.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $11.48 / $18.20	Professional		$9.55	$11.48	$18.20

Ohio rates for HCPCS 97016