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 $48.98 / $165.96 / $295.12	Facility		$48.98	$165.96	$295.12
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility	25	$19.50	$19.50	$19.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $223.87 / $524.81	Professional		$141.25	$223.87	$524.81
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $173.78 / $323.59 / $676.08	Professional	25	$173.78	$323.59	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $218.78 / $295.12	Professional		$158.49	$218.78	$295.12
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $169.82 / $223.87 / $288.40	Professional	25	$169.82	$223.87	$288.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $186.21 / $302.00	Professional		$144.54	$186.21	$302.00
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $223.87 / $316.23	Professional		$177.83	$223.87	$316.23
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $194.98 / $281.84	Facility		$169.82	$194.98	$281.84
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $229.09 / $446.68	Professional		$208.93	$229.09	$446.68
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $144.54 / $281.84	Facility		$100.00	$144.54	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $223.87 / $389.05	Professional		$162.18	$223.87	$389.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $144.54 / $281.84	Facility		$100.00	$144.54	$281.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $245.47 / $371.54	Professional		$162.18	$245.47	$371.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $229.09 / $371.54	Professional		$104.71	$229.09	$371.54
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $239.88 / $363.08	Professional		$173.78	$239.88	$363.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $173.78 / $275.42	Facility		$147.91	$173.78	$275.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $199.53 / $371.54	Professional		$131.83	$199.53	$371.54
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $91.20 / $295.12	Professional	25	$70.79	$91.20	$295.12

Ohio rates for HCPCS 99205