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 26 Typical Low / Median / Typical High $104.71 / $120.23 / $213.80	Facility	26	$104.71	$120.23	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $562.34 / $1,584.89	Professional		$346.74	$562.34	$1,584.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $144.54 / $537.03	Professional	26	$97.72	$144.54	$537.03
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $281.84 / $323.59 / $346.74	Professional	52	$281.84	$323.59	$346.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $309.03 / $1,000.00	Professional	TC	$245.47	$309.03	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $707.95 / $1,737.80	Professional		$331.13	$707.95	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $199.53 / $501.19	Professional	26	$102.33	$199.53	$501.19
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $512.86 / $1,230.27	Professional	TC	$223.87	$512.86	$1,230.27
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $263.03 / $309.03 / $489.78	Facility	26	$263.03	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,174.90 / $1,348.96	Professional		$398.11	$1,174.90	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $331.13 / $371.54	Professional	26	$120.23	$331.13	$371.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $851.14 / $977.24	Professional	TC	$288.40	$851.14	$977.24
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $851.14 / $1,047.13	Professional		$616.60	$851.14	$1,047.13
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $257.04 / $316.23	Professional	26	$181.97	$257.04	$316.23
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $602.56 / $707.95	Professional	TC	$436.52	$602.56	$707.95
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $549.54 / $1,819.70	Professional		$338.84	$549.54	$1,819.70
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $194.98 / $512.86	Professional	26	$109.65	$194.98	$512.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $371.54 / $1,258.93	Professional	TC	$229.09	$371.54	$1,258.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $870.96 / $1,230.27	Professional		$501.19	$870.96	$1,230.27
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $257.04 / $338.84	Professional	26	$144.54	$257.04	$338.84
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $588.84 / $891.25	Professional	TC	$354.81	$588.84	$891.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $851.14 / $1,318.26	Professional		$436.52	$851.14	$1,318.26
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $630.96	Facility	26	$263.03	$263.03	$630.96
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $1,698.24 / $2,454.71	Professional		$467.74	$1,698.24	$2,454.71
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $512.86 / $758.58	Professional	26	$141.25	$512.86	$758.58
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $1,202.26 / $1,737.80	Professional	TC	$323.59	$1,202.26	$1,737.80
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Professional	26	$537.03	$537.03	$537.03
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,412.54 / $1,412.54 / $1,412.54	Professional	TC	$1,412.54	$1,412.54	$1,412.54
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,187.76 / $2,754.23	Professional		$1,513.56	$2,187.76	$2,754.23
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $478.63 / $537.03 / $602.56	Professional	26	$478.63	$537.03	$602.56
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $933.25 / $1,096.48 / $1,288.25	Professional	TC	$933.25	$1,096.48	$1,288.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $575.44 / $1,513.56	Professional		$338.84	$575.44	$1,513.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $181.97 / $457.09	Professional	26	$104.71	$181.97	$457.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $389.05 / $1,047.13	Professional	TC	$223.87	$389.05	$1,047.13

Wisconsin rates for HCPCS 51728