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 / $48.98 / $229.09	Facility		$19.05	$48.98	$229.09
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $74.13 / $151.36 / $251.19	Facility	CQ	$74.13	$151.36	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $20.89 / $47.86	Professional		$15.14	$20.89	$47.86
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.50 / $38.90 / $141.25	Professional	CQ	$19.50	$38.90	$141.25
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 Professional Modifier Typical Low / Median / Typical High $14.79 / $19.95 / $36.31	Professional		$14.79	$19.95	$36.31
Aultcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $38.90 / $38.90	Facility		$19.50	$38.90	$38.90
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $31.62 / $37.15	Facility		$26.92	$31.62	$37.15
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $30.90 / $64.57	Professional		$27.54	$30.90	$64.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $141.25	Facility		$47.86	$64.57	$141.25
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 $21.88 / $34.67 / $53.70	Professional		$21.88	$34.67	$53.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $77.62 / $123.03	Facility		$39.81	$77.62	$123.03
Medical Mutual of Ohio Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	CQ	$39.81	$39.81	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $33.11 / $51.29	Professional		$19.05	$33.11	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $20.42 / $20.42 / $21.38	Professional	CQ	$20.42	$20.42	$21.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $32.36 / $33.11	Professional		$15.49	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $34.67 / $46.77	Professional		$23.44	$34.67	$46.77
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $26.30 / $31.62	Facility		$23.44	$26.30	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $26.30 / $35.48	Professional		$19.05	$26.30	$35.48

Ohio rates for HCPCS 97116