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 $20.89 / $20.89 / $30.20	Facility	26	$20.89	$20.89	$30.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $85.11 / $151.36	Professional		$52.48	$85.11	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.44 / $63.10	Professional	26	$12.88	$23.44	$63.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $56.23 / $97.72	Professional	TC	$38.02	$56.23	$97.72
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $93.33 / $323.59	Professional		$60.26	$93.33	$323.59
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $26.30 / $77.62	Professional	26	$13.80	$26.30	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $70.79 / $229.09	Professional	TC	$45.71	$70.79	$229.09
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $57.54 / $75.86	Professional		$18.20	$57.54	$75.86
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $44.67 / $70.79	Facility	26	$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $169.82 / $257.04	Professional		$67.61	$169.82	$257.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $38.02 / $58.88	Professional	26	$19.95	$38.02	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $131.83 / $194.98	Professional	TC	$47.86	$131.83	$194.98
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $138.04 / $186.21	Professional		$114.82	$138.04	$186.21
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $31.62 / $46.77	Professional	26	$26.30	$31.62	$46.77
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $104.71 / $141.25	Professional	TC	$87.10	$104.71	$141.25
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $114.82 / $398.11	Professional		$61.66	$114.82	$398.11
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $34.67 / $138.04	Professional	26	$16.98	$34.67	$138.04
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $85.11 / $354.81	Professional	TC	$44.67	$85.11	$354.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $123.03 / $208.93	Professional		$77.62	$123.03	$208.93
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $36.31 / $63.10	Professional	26	$20.42	$36.31	$63.10
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $81.28 / $147.91	Professional	TC	$63.10	$81.28	$147.91
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $158.49 / $245.47	Professional		$83.18	$158.49	$245.47
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $125.89 / $125.89	Facility	26	$100.00	$125.89	$125.89
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $288.40 / $398.11	Professional		$89.13	$288.40	$398.11
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $75.86 / $138.04	Professional	26	$20.42	$75.86	$138.04
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $208.93 / $354.81	Professional	TC	$67.61	$208.93	$354.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $331.13 / $389.05	Professional		$120.23	$331.13	$389.05
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $51.29 / $87.10	Professional	26	$39.81	$51.29	$87.10
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $102.33 / $251.19	Professional	TC	$81.28	$102.33	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $95.50 / $446.68	Professional		$81.28	$95.50	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $93.33 / $109.65	Professional	26	$28.18	$93.33	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $66.07 / $154.88	Professional	TC	$44.67	$66.07	$154.88

Wisconsin rates for HCPCS 72052