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 $19.50 / $34.67 / $144.54	Facility		$19.50	$34.67	$144.54
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $52.48 / $186.21 / $398.11	Facility	CQ	$52.48	$186.21	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $22.91 / $48.98	Professional		$16.98	$22.91	$48.98
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $18.62 / $33.88 / $70.79	Professional	CQ	$18.62	$33.88	$70.79
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	CQ	$31.62	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.70 / $51.29	Professional		$19.95	$25.70	$51.29
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $38.90 / $47.86	Facility		$26.92	$38.90	$47.86
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $32.36 / $64.57	Professional		$28.18	$32.36	$64.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $79.43	Facility		$54.95	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $29.51 / $50.12	Professional		$14.79	$29.51	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $32.36 / $45.71	Professional		$24.55	$32.36	$45.71
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $251.19 / $549.54	Facility		$158.49	$251.19	$549.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $38.90 / $40.74	Professional		$35.48	$38.90	$40.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $42.66	Facility		$28.84	$28.84	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $28.84 / $44.67	Professional		$19.95	$28.84	$44.67

Georgia rates for HCPCS 97116