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 $18.62 / $33.88 / $173.78	Facility		$18.62	$33.88	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $21.88 / $39.81	Professional		$18.20	$21.88	$39.81
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $21.88 / $39.81	Professional		$16.22	$21.88	$39.81
Aultcare Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $30.20 / $39.81	Facility		$19.50	$30.20	$39.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $141.25	Facility		$50.12	$64.57	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $38.02 / $58.88	Professional		$23.99	$38.02	$58.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $114.82 / $128.82	Facility		$53.70	$114.82	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $54.95	Professional		$24.55	$38.02	$54.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $36.31 / $58.88	Professional		$31.62	$36.31	$58.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $28.18 / $33.88	Facility		$25.12	$28.18	$33.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.84 / $38.02	Professional		$20.89	$28.84	$38.02

Ohio rates for HCPCS 97542