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 $213.80 / $275.42 / $275.42	Facility	26	$213.80	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $602.56 / $2,884.03	Professional		$363.08	$602.56	$2,884.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $199.53 / $588.84	Professional	26	$97.72	$199.53	$588.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $371.54 / $660.69	Professional	TC	$251.19	$371.54	$660.69
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $588.84 / $2,041.74	Professional		$338.84	$588.84	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $154.88 / $575.44	Professional	26	$97.72	$154.88	$575.44
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $489.78 / $1,445.44	Professional	TC	$245.47	$489.78	$1,445.44
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $288.40 / $416.87	Professional		$128.82	$288.40	$416.87
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $263.03 / $309.03 / $501.19	Facility	26	$263.03	$309.03	$501.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $1,071.52 / $1,412.54	Professional		$467.74	$1,071.52	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $239.88 / $416.87	Professional	26	$109.65	$239.88	$416.87
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $794.33 / $1,000.00	Professional	TC	$346.74	$794.33	$1,000.00
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $758.58 / $1,023.29	Professional		$630.96	$758.58	$1,023.29
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $223.87 / $302.00	Professional	26	$186.21	$223.87	$302.00
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $537.03 / $758.58	Professional	TC	$446.68	$537.03	$758.58
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,023.29 / $6,025.60	Professional		$457.09	$1,023.29	$6,025.60
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $234.42 / $891.25	Professional	26	$112.20	$234.42	$891.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $741.31 / $5,495.41	Professional	TC	$323.59	$741.31	$5,495.41
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $912.01 / $1,412.54	Professional		$426.58	$912.01	$1,412.54
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $239.88 / $407.38	Professional	26	$141.25	$239.88	$407.38
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $741.31 / $1,258.93	Professional	TC	$371.54	$741.31	$1,258.93
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $851.14 / $2,454.71	Professional		$446.68	$851.14	$2,454.71
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $234.42 / $933.25 / $933.25	Facility	26	$234.42	$933.25	$933.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $3,388.44 / $6,165.95	Professional		$489.78	$3,388.44	$6,165.95
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $524.81 / $891.25	Professional	26	$147.91	$524.81	$891.25
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $3,090.30 / $5,623.41	Professional	TC	$354.81	$3,090.30	$5,623.41
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	26	$263.03	$263.03	$263.03
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Professional	TC	$660.69	$660.69	$660.69
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,187.76 / $3,162.28	Professional		$1,995.26	$2,187.76	$3,162.28
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $457.09 / $588.84 / $724.44	Professional	26	$457.09	$588.84	$724.44
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,258.93 / $1,819.70 / $2,290.87	Professional	TC	$1,258.93	$1,819.70	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $1,412.54 / $2,691.53	Professional		$85.11	$1,412.54	$2,691.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $478.63 / $776.25	Professional	26	$87.10	$478.63	$776.25
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $630.96 / $1,479.11	Professional	TC	$295.12	$630.96	$1,479.11

Wisconsin rates for HCPCS 70543