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 $2.88 / $2.95 / $48.98	Facility		$2.88	$2.95	$48.98
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $46.77 / $46.77	Facility	26	$45.71	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $46.77 / $58.88	Professional		$12.88	$46.77	$58.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $45.71 / $151.36	Professional	26	$18.20	$45.71	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $43.65 / $58.88	Professional	26	$42.66	$43.65	$58.88
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $67.61 / $72.44	Professional		$5.01	$67.61	$72.44
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.02 / $45.71 / $109.65	Facility		$3.02	$45.71	$109.65
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $48.98 / $104.71	Professional		$3.72	$48.98	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $56.23	Professional	26	$40.74	$40.74	$56.23
Health Alliance Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.88 / $2.95 / $47.86	Facility		$2.88	$2.95	$47.86
Health Alliance Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $46.77 / $53.70	Facility	26	$19.50	$46.77	$53.70
Health Alliance Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $38.90 / $61.66	Professional		$15.14	$38.90	$61.66
Health Alliance Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $42.66 / $72.44	Professional	26	$18.20	$42.66	$72.44
Priority Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $43.65 / $43.65	Professional		$19.95	$43.65	$43.65
Priority Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.16 / $3.16 / $3.16	Facility		$3.16	$3.16	$3.16
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $21.88 / $38.90	Professional		$19.05	$21.88	$38.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $22.39 / $70.79	Professional	26	$19.05	$22.39	$70.79

Michigan rates for HCPCS G0452