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 $199.53 / $416.87 / $954.99	Facility		$199.53	$416.87	$954.99
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $46.77 / $81.28	Facility	26	$39.81	$46.77	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $245.47 / $758.58	Professional		$173.78	$245.47	$758.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $70.79 / $416.87	Professional	26	$37.15	$70.79	$416.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $173.78 / $575.44	Professional	TC	$117.49	$173.78	$575.44
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $371.54 / $870.96	Professional		$138.04	$371.54	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $75.86 / $190.55	Professional	26	$39.81	$75.86	$190.55
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $295.12 / $676.08	Professional	TC	$97.72	$295.12	$676.08
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $257.04 / $346.74	Professional		$89.13	$257.04	$346.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $602.56 / $954.99	Facility		$512.86	$602.56	$954.99
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $117.49 / $186.21	Facility	26	$100.00	$117.49	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $616.60 / $691.83	Professional		$213.80	$616.60	$691.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $125.89 / $141.25	Professional	26	$53.70	$125.89	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $478.63 / $549.54	Professional	TC	$158.49	$478.63	$549.54
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $2,570.40 / $4,786.30	Facility		$190.55	$2,570.40	$4,786.30
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $416.87 / $501.19	Professional		$302.00	$416.87	$501.19
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $97.72 / $120.23	Professional	26	$70.79	$97.72	$120.23
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $316.23 / $380.19	Professional	TC	$234.42	$316.23	$380.19
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $1,202.26 / $1,778.28	Facility		$190.55	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $316.23 / $954.99	Professional		$154.88	$316.23	$954.99
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $79.43 / $269.15	Professional	26	$41.69	$79.43	$269.15
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $229.09 / $758.58	Professional	TC	$102.33	$229.09	$758.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $891.25 / $2,344.23	Facility		$281.84	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $316.23 / $645.65	Professional		$245.47	$316.23	$645.65
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $97.72 / $131.83	Professional	26	$54.95	$97.72	$131.83
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $208.93 / $524.81	Professional	TC	$177.83	$208.93	$524.81
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $389.05 / $537.03	Professional		$199.53	$389.05	$537.03
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $2,951.21 / $2,951.21	Facility		$436.52	$2,951.21	$2,951.21
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $245.47 / $245.47	Facility	26	$102.33	$245.47	$245.47
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $912.01 / $1,584.89	Professional		$229.09	$912.01	$1,584.89
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $269.15 / $912.01	Professional	26	$53.70	$269.15	$912.01
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $630.96 / $1,148.15	Professional	TC	$173.78	$630.96	$1,148.15
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	26	$204.17	$204.17	$204.17
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Professional	TC	$831.76	$831.76	$831.76
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $1,148.15 / $1,412.54	Professional		$588.84	$1,148.15	$1,412.54
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $234.42 / $275.42	Professional	26	$186.21	$234.42	$275.42
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $501.19 / $602.56	Professional	TC	$371.54	$501.19	$602.56
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $275.42 / $724.44	Professional		$147.91	$275.42	$724.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $72.44 / $177.83	Professional	26	$41.69	$72.44	$177.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $213.80 / $524.81	Professional	TC	$102.33	$213.80	$524.81

Wisconsin rates for HCPCS 51797