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 $19.05 / $30.90 / $93.33	Facility		$19.05	$30.90	$93.33
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $64.57 / $75.86 / $83.18	Facility	CQ	$64.57	$75.86	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $20.42 / $42.66	Professional		$14.45	$20.42	$42.66
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $18.62 / $32.36 / $83.18	Professional	CQ	$18.62	$32.36	$83.18
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $18.62 / $18.62 / $18.62	Professional	CQ	$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $43.65	Facility		$28.84	$28.84	$43.65
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $19.50 / $32.36	Professional		$14.13	$19.50	$32.36
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $40.74	Facility		$22.91	$33.11	$40.74
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $32.36 / $38.90	Professional		$26.92	$32.36	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $79.43	Facility		$47.86	$47.86	$79.43
Cigna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	CQ	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $30.90 / $138.04	Professional		$16.60	$30.90	$138.04
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $32.36 / $33.11	Professional		$15.49	$32.36	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $33.11	Facility		$29.51	$29.51	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $25.70 / $34.67	Professional		$20.89	$25.70	$34.67

Kentucky rates for HCPCS 97116