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 $229.09 / $288.40 / $426.58	Facility	26	$229.09	$288.40	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $588.84 / $3,467.37	Professional		$346.74	$588.84	$3,467.37
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $229.09 / $870.96	Professional	26	$104.71	$229.09	$870.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $380.19 / $794.33	Professional	TC	$223.87	$380.19	$794.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $602.56 / $1,905.46	Professional		$323.59	$602.56	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $165.96 / $616.60	Professional	26	$104.71	$165.96	$616.60
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $446.68 / $1,288.25	Professional	TC	$218.78	$446.68	$1,288.25
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $257.04 / $398.11	Professional		$138.04	$257.04	$398.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $281.84 / $331.13 / $524.81	Facility	26	$281.84	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,071.52 / $1,348.96	Professional		$398.11	$1,071.52	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $257.04 / $436.52	Professional	26	$120.23	$257.04	$436.52
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $724.44 / $977.24	Professional	TC	$288.40	$724.44	$977.24
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $707.95 / $977.24	Professional		$602.56	$707.95	$977.24
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $239.88 / $302.00	Professional	26	$199.53	$239.88	$302.00
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $478.63 / $676.08	Professional	TC	$398.11	$478.63	$676.08
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $2,344.23	Facility	26	$1,023.29	$1,023.29	$2,344.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $1,023.29 / $6,165.95	Professional		$426.58	$1,023.29	$6,165.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $263.03 / $912.01	Professional	26	$125.89	$263.03	$912.01
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $707.95 / $5,495.41	Professional	TC	$288.40	$707.95	$5,495.41
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $851.14 / $1,318.26	Professional		$407.38	$851.14	$1,318.26
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $257.04 / $436.52	Professional	26	$154.88	$257.04	$436.52
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $707.95 / $1,202.26	Professional	TC	$331.13	$707.95	$1,202.26
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $812.83 / $2,630.27	Professional		$426.58	$812.83	$2,630.27
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $251.19 / $1,000.00 / $1,000.00	Facility	26	$251.19	$1,000.00	$1,000.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $3,548.13 / $6,309.57	Professional		$467.74	$3,548.13	$6,309.57
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $562.34 / $912.01	Professional	26	$158.49	$562.34	$912.01
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $3,162.28 / $5,754.40	Professional	TC	$316.23	$3,162.28	$5,754.40
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	26	$281.84	$281.84	$281.84
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	TC	$588.84	$588.84	$588.84
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,630.27 / $4,570.88	Professional		$1,995.26	$2,630.27	$4,570.88
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $457.09 / $691.83 / $1,412.54	Professional	26	$457.09	$691.83	$1,412.54
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,230.27 / $1,819.70 / $3,090.30	Professional	TC	$1,230.27	$1,819.70	$3,090.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $1,548.82 / $2,570.40	Professional		$95.50	$1,548.82	$2,570.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $426.58 / $831.76	Professional	26	$87.10	$426.58	$831.76
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $758.58 / $1,737.80	Professional	TC	$95.50	$758.58	$1,737.80

Wisconsin rates for HCPCS 72158