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 $23.44 / $112.20 / $323.59	Facility		$23.44	$112.20	$323.59
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $69.18 / $102.33 / $436.52	Facility	CQ	$69.18	$102.33	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $32.36 / $87.10	Professional		$19.05	$32.36	$87.10
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $20.89 / $44.67 / $44.67	Professional	CO	$20.89	$44.67	$44.67
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $21.38 / $45.71 / $87.10	Professional	CQ	$21.38	$45.71	$87.10
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $21.38 / $25.70 / $30.90	Professional	CQ	$21.38	$25.70	$30.90
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $23.44 / $42.66	Professional		$17.38	$23.44	$42.66
Aultcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $43.65 / $43.65	Facility		$21.38	$43.65	$43.65
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $25.12 / $31.62	Professional		$21.38	$25.12	$31.62
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $34.67 / $41.69	Facility		$30.20	$34.67	$41.69
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $72.44	Professional		$30.90	$33.88	$72.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $64.57 / $141.25	Facility		$52.48	$64.57	$141.25
Cigna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $39.81 / $63.10	Professional		$25.70	$39.81	$63.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $83.18 / $131.83	Facility		$47.86	$83.18	$131.83
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $32.36 / $52.48	Professional		$21.38	$32.36	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $22.39 / $28.84 / $42.66	Professional	CQ	$22.39	$28.84	$42.66
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $34.67 / $50.12	Professional		$26.92	$34.67	$50.12
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $29.51 / $36.31	Facility		$26.30	$29.51	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $30.90 / $44.67	Professional		$22.39	$30.90	$44.67

Ohio rates for HCPCS 97112