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 $22.39 / $28.18 / $120.23	Facility		$22.39	$28.18	$120.23
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $40.74 / $64.57 / $141.25	Facility	CQ	$40.74	$64.57	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $21.38 / $47.86	Professional		$14.45	$21.38	$47.86
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.50 / $33.88 / $588.84	Professional	CQ	$19.50	$33.88	$588.84
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $45.71 / $58.88	Facility		$31.62	$45.71	$58.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $29.51 / $29.51	Professional		$27.54	$29.51	$29.51
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $19.95 / $33.11	Facility		$15.14	$19.95	$33.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $32.36	Professional		$28.18	$28.18	$32.36
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 $20.89 / $34.67 / $75.86	Professional		$20.89	$34.67	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $26.30 / $114.82	Facility		$22.39	$26.30	$114.82
Health Alliance Plan Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $40.74 / $70.79 / $186.21	Facility	CQ	$40.74	$70.79	$186.21
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $24.55 / $47.86	Professional		$16.98	$24.55	$47.86
Health Alliance Plan Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.05 / $21.88 / $141.25	Professional	CQ	$19.05	$21.88	$141.25
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $75.86 / $75.86	Professional		$23.99	$75.86	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $28.84 / $28.84	Facility		$23.44	$28.84	$28.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $26.30 / $51.29	Professional		$23.44	$26.30	$51.29

Michigan rates for HCPCS 97116