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 $20.42 / $125.89 / $398.11	Facility		$20.42	$125.89	$398.11
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $36.31 / $75.86 / $141.25	Facility	CQ	$36.31	$75.86	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $27.54 / $100.00	Professional		$15.85	$27.54	$100.00
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $104.71 / $134.90 / $134.90	Professional	CO	$104.71	$134.90	$134.90
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $17.78 / $39.81 / $141.25	Professional	CQ	$17.78	$39.81	$141.25
Ambetter Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	CO	$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $18.62 / $18.62 / $26.30	Professional	CQ	$18.62	$18.62	$26.30
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $42.66 / $56.23	Facility		$30.20	$42.66	$56.23
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $26.92 / $26.92	Professional		$25.70	$26.92	$26.92
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $19.95 / $31.62	Facility		$15.14	$19.95	$31.62
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
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 $21.88 / $32.36 / $75.86	Professional		$21.88	$32.36	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $75.86 / $363.08	Facility		$20.42	$75.86	$363.08
Health Alliance Plan Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $36.31 / $69.18 / $128.82	Facility	CQ	$36.31	$69.18	$128.82
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $27.54 / $63.10	Professional		$17.78	$27.54	$63.10
Health Alliance Plan Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	CO	$134.90	$134.90	$134.90
Health Alliance Plan Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $17.78 / $44.67 / $141.25	Professional	CQ	$17.78	$44.67	$141.25
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $75.86 / $75.86	Professional		$23.44	$75.86	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $27.54 / $27.54	Facility		$22.39	$27.54	$27.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $60.26	Professional		$23.44	$27.54	$60.26

Michigan rates for HCPCS 97140