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 $91.20 / $104.71 / $128.82	Facility	26	$91.20	$104.71	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $257.04 / $524.81	Professional		$138.04	$257.04	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $85.11 / $389.05	Professional	26	$42.66	$85.11	$389.05
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $151.36 / $288.40	Professional	TC	$83.18	$151.36	$288.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $251.19 / $758.58	Professional		$128.82	$251.19	$758.58
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $74.13 / $269.15	Professional	26	$45.71	$74.13	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $177.83 / $512.86	Professional	TC	$83.18	$177.83	$512.86
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $162.18	Professional		$60.26	$100.00	$162.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $144.54 / $234.42	Facility	26	$123.03	$144.54	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $389.05 / $537.03	Professional		$177.83	$389.05	$537.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $109.65 / $190.55	Professional	26	$52.48	$109.65	$190.55
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $251.19 / $346.74	Professional	TC	$117.49	$251.19	$346.74
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $288.40 / $457.09	Professional		$245.47	$288.40	$457.09
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $104.71 / $141.25	Professional	26	$87.10	$104.71	$141.25
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $186.21 / $323.59	Professional	TC	$154.88	$186.21	$323.59
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $346.74 / $446.68 / $2,290.87	Facility	26	$346.74	$446.68	$2,290.87
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $371.54 / $1,621.81	Professional		$177.83	$371.54	$1,621.81
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $120.23 / $380.19	Professional	26	$56.23	$120.23	$380.19
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $263.03 / $1,348.96	Professional	TC	$120.23	$263.03	$1,348.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $371.54 / $630.96	Professional		$165.96	$371.54	$630.96
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $112.20 / $177.83	Professional	26	$66.07	$112.20	$177.83
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $295.12 / $457.09	Professional	TC	$125.89	$295.12	$457.09
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $331.13 / $1,000.00	Professional		$173.78	$331.13	$1,000.00
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $109.65 / $426.58 / $426.58	Facility	26	$109.65	$426.58	$426.58
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $933.25 / $1,659.59	Professional		$199.53	$933.25	$1,659.59
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $245.47 / $380.19	Professional	26	$67.61	$245.47	$380.19
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $741.31 / $1,348.96	Professional	TC	$128.82	$741.31	$1,348.96
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $831.76 / $1,122.02	Professional		$588.84	$831.76	$1,122.02
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $194.98 / $269.15	Professional	26	$165.96	$194.98	$269.15
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $446.68 / $645.65	Professional	TC	$302.00	$446.68	$645.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $549.54 / $1,023.29	Professional		$85.11	$549.54	$1,023.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $190.55 / $363.08	Professional	26	$85.11	$190.55	$363.08
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $213.80 / $446.68	Professional	TC	$107.15	$213.80	$446.68

Wisconsin rates for HCPCS 72131