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 $19.95 / $58.88 / $181.97	Facility		$19.95	$58.88	$181.97
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Facility	CO	$281.84	$281.84	$281.84
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	CQ	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $33.88 / $323.59	Professional		$19.95	$33.88	$323.59
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	CO	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $17.78 / $26.92 / $52.48	Professional	CQ	$17.78	$26.92	$52.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $64.57	Facility		$37.15	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $34.67 / $53.70	Professional		$28.18	$34.67	$53.70
Hally Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $81.28	Professional		$28.18	$42.66	$81.28
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $42.66 / $151.36	Facility		$23.99	$42.66	$151.36
Medica Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility	CO	$128.82	$128.82	$128.82
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility	CQ	$128.82	$128.82	$128.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $40.74 / $158.49	Professional		$26.30	$40.74	$158.49
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $50.12 / $104.71	Professional		$40.74	$50.12	$104.71
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $56.23	Professional		$38.90	$38.90	$56.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $42.66 / $66.07	Professional		$30.90	$42.66	$66.07
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $50.12	Facility		$35.48	$35.48	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.11 / $83.18	Professional		$25.12	$33.11	$83.18
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $48.98	Professional		$40.74	$40.74	$48.98

Iowa rates for HCPCS 97535