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 $10.96 / $13.18 / $16.22	Facility	26	$10.96	$13.18	$16.22
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $28.84 / $60.26	Professional		$19.95	$28.84	$60.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $12.02 / $47.86	Professional	26	$6.76	$12.02	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $18.20 / $31.62	Professional	TC	$12.02	$18.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $36.31 / $125.89	Professional		$23.44	$36.31	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $11.48 / $40.74	Professional	26	$7.41	$11.48	$40.74
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $25.12 / $85.11	Professional	TC	$16.22	$25.12	$85.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $19.95 / $30.20	Professional		$9.77	$19.95	$30.20
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $22.91 / $37.15	Facility	26	$19.95	$22.91	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $64.57 / $97.72	Professional		$25.12	$64.57	$97.72
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $19.95 / $31.62	Professional	26	$8.51	$19.95	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $44.67 / $67.61	Professional	TC	$17.38	$44.67	$67.61
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $53.70 / $72.44	Professional		$44.67	$53.70	$72.44
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $16.98 / $22.91	Professional	26	$14.13	$16.98	$22.91
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $36.31 / $48.98	Professional	TC	$30.20	$36.31	$48.98
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $44.67 / $537.03	Professional		$24.55	$44.67	$537.03
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $16.22 / $63.10	Professional	26	$8.32	$16.22	$63.10
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $30.90 / $501.19	Professional	TC	$16.22	$30.90	$501.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $47.86 / $97.72	Professional		$29.51	$47.86	$97.72
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $16.98 / $27.54	Professional	26	$9.55	$16.98	$27.54
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $30.20 / $67.61	Professional	TC	$20.42	$30.20	$67.61
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $60.26 / $107.15	Professional		$31.62	$60.26	$107.15
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $114.82 / $537.03	Professional		$34.67	$114.82	$537.03
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $39.81 / $63.10	Professional	26	$10.96	$39.81	$63.10
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $75.86 / $501.19	Professional	TC	$23.44	$75.86	$501.19
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Professional	26	$19.95	$19.95	$19.95
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	TC	$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $131.83 / $151.36	Professional		$46.77	$131.83	$151.36
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $21.38 / $41.69	Professional	26	$16.98	$21.38	$41.69
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $36.31 / $91.20	Professional	TC	$30.20	$36.31	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $37.15 / $85.11	Professional		$23.44	$37.15	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $50.12 / $95.50	Professional	26	$15.85	$50.12	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $23.99 / $56.23	Professional	TC	$15.85	$23.99	$56.23

Wisconsin rates for HCPCS 72020