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 $186.21 / $354.81 / $676.08	Facility		$186.21	$354.81	$676.08
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.85 / $18.62 / $22.39	Facility	26	$15.85	$18.62	$22.39
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $48.98 / $281.84 / $407.38	Facility	TC	$48.98	$281.84	$407.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $64.57 / $245.47	Professional		$35.48	$64.57	$245.47
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $21.88 / $85.11	Professional	26	$10.00	$21.88	$85.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $42.66 / $125.89	Professional	TC	$23.99	$42.66	$125.89
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $58.88 / $204.17	Professional		$38.02	$58.88	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $16.60 / $58.88	Professional	26	$10.47	$16.60	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $41.69 / $144.54	Professional	TC	$26.92	$41.69	$144.54
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $43.65 / $64.57	Facility		$15.49	$43.65	$64.57
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $34.67 / $48.98	Professional		$13.49	$34.67	$48.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $32.36 / $52.48	Facility	26	$28.18	$32.36	$52.48
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $79.43 / $93.33 / $147.91	Facility	TC	$79.43	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $107.15 / $162.18	Professional		$39.81	$107.15	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $28.18 / $43.65	Professional	26	$12.02	$28.18	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $79.43 / $117.49	Professional	TC	$27.54	$79.43	$117.49
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $69.18 / $309.03	Facility		$33.88	$69.18	$309.03
DeanCare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $223.87 / $269.15 / $354.81	Facility	TC	$223.87	$269.15	$354.81
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $87.10 / $117.49	Professional		$72.44	$87.10	$117.49
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $23.99 / $32.36	Professional	26	$19.95	$23.99	$32.36
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $60.26 / $81.28	Professional	TC	$53.70	$60.26	$81.28
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $79.43 / $346.74	Facility		$33.88	$79.43	$346.74
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $199.53	Facility	26	$100.00	$100.00	$199.53
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $131.83 / $281.84 / $501.19	Facility	TC	$131.83	$281.84	$501.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $77.62 / $257.04	Professional		$38.90	$77.62	$257.04
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $29.51 / $91.20	Professional	26	$12.02	$29.51	$91.20
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $51.29 / $194.98	Professional	TC	$26.92	$51.29	$194.98
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 Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $72.44	Facility		$57.54	$57.54	$72.44
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $158.49	Professional		$48.98	$72.44	$158.49
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $25.12 / $40.74	Professional	26	$13.80	$25.12	$40.74
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $48.98 / $114.82	Professional	TC	$36.31	$48.98	$114.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $100.00 / $199.53	Professional		$52.48	$100.00	$199.53
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $363.08 / $363.08	Facility		$95.50	$363.08	$363.08
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 Facility Modifier TC Typical Low / Median / Typical High $100.00 / $186.21 / $186.21	Facility	TC	$100.00	$186.21	$186.21
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $181.97 / $257.04	Professional		$57.54	$181.97	$257.04
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $56.23 / $91.20	Professional	26	$15.49	$56.23	$91.20
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $125.89 / $194.98	Professional	TC	$41.69	$125.89	$194.98
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $199.53 / $245.47	Professional		$70.79	$199.53	$245.47
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $29.51 / $63.10	Professional	26	$24.55	$29.51	$63.10
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $60.26 / $138.04	Professional	TC	$45.71	$60.26	$138.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $104.71 / $302.00	Facility		$11.22	$104.71	$302.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $95.50 / $288.40	Professional		$58.88	$95.50	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $70.79 / $95.50	Professional	26	$20.42	$70.79	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $95.50 / $199.53	Professional	TC	$44.67	$95.50	$199.53

Wisconsin rates for HCPCS 72040