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 $21.88 / $40.74 / $97.72	Facility		$21.88	$40.74	$97.72
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Facility	CO	$10.47	$10.47	$10.47
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $91.20 / $204.17 / $204.17	Facility	CQ	$91.20	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.44 / $45.71	Professional		$16.98	$23.44	$45.71
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	CO	$26.30	$26.30	$26.30
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $25.70 / $33.11 / $38.02	Professional	CQ	$25.70	$33.11	$38.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $41.69	Facility		$28.18	$28.18	$41.69
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $35.48 / $44.67	Facility		$25.70	$35.48	$44.67
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $35.48 / $43.65	Professional		$30.20	$35.48	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $79.43	Facility		$52.48	$52.48	$79.43
Cigna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CO	$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $36.31 / $154.88	Professional		$18.20	$36.31	$154.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $32.36 / $33.11	Professional		$15.14	$32.36	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $36.31	Facility		$35.48	$35.48	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $29.51 / $40.74	Professional		$25.12	$29.51	$40.74

Kentucky rates for HCPCS 97535