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 $10.96 / $11.22 / $30.90	Facility		$10.96	$11.22	$30.90
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $30.20 / $41.69 / $97.72	Facility	CQ	$30.20	$41.69	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $24.55	Professional		$7.94	$10.96	$24.55
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	CO	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $8.91 / $12.02 / $34.67	Professional	CQ	$8.91	$12.02	$34.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $21.88 / $28.84	Facility		$15.49	$21.88	$28.84
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $14.13 / $14.13	Professional		$13.49	$14.13	$14.13
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $17.38 / $26.92	Facility		$15.14	$17.38	$26.92
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $15.85	Professional		$13.49	$13.49	$15.85
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $18.62 / $75.86	Professional		$9.77	$18.62	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $34.67	Facility		$10.96	$10.96	$34.67
Health Alliance Plan Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $12.30 / $41.69 / $97.72	Facility	CQ	$12.30	$41.69	$97.72
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $12.02 / $24.55	Professional		$8.51	$12.02	$24.55
Health Alliance Plan Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $8.91 / $18.20 / $35.48	Professional	CQ	$8.91	$18.20	$35.48
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $75.86 / $75.86	Professional		$11.22	$75.86	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $14.45 / $14.45	Facility		$11.48	$14.45	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $12.59 / $26.92	Professional		$10.96	$12.59	$26.92

Michigan rates for HCPCS 97035