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 $169.82 / $169.82 / $190.55	Facility	26	$169.82	$169.82	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $467.74 / $741.31	Professional		$275.42	$467.74	$741.31
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $138.04 / $208.93	Professional	26	$83.18	$138.04	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $338.84 / $501.19	Professional	TC	$194.98	$338.84	$501.19
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $478.63 / $1,621.81	Professional		$269.15	$478.63	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $125.89 / $467.74	Professional	26	$79.43	$125.89	$467.74
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $389.05 / $1,230.27	Professional	TC	$190.55	$389.05	$1,230.27
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $213.80 / $251.19 / $398.11	Facility	26	$213.80	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $794.33 / $1,122.02	Professional		$380.19	$794.33	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $208.93 / $331.13	Professional	26	$87.10	$208.93	$331.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $562.34 / $794.33	Professional	TC	$275.42	$562.34	$794.33
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $602.56 / $870.96	Professional		$501.19	$602.56	$870.96
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $181.97 / $245.47	Professional	26	$147.91	$181.97	$245.47
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $416.87 / $660.69	Professional	TC	$354.81	$416.87	$660.69
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility	26	$758.58	$758.58	$758.58
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $776.25 / $3,388.44	Professional		$363.08	$776.25	$3,388.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $186.21 / $660.69	Professional	26	$91.20	$186.21	$660.69
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $575.44 / $2,951.21	Professional	TC	$257.04	$575.44	$2,951.21
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $870.96 / $1,122.02	Professional		$338.84	$870.96	$1,122.02
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $194.98 / $331.13	Professional	26	$114.82	$194.98	$331.13
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $707.95 / $1,071.52	Professional	TC	$295.12	$707.95	$1,071.52
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $1,949.84	Professional		$354.81	$676.08	$1,949.84
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $190.55 / $741.31 / $741.31	Facility	26	$190.55	$741.31	$741.31
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $1,949.84 / $3,467.37	Professional		$416.87	$1,949.84	$3,467.37
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $426.58 / $660.69	Professional	26	$117.49	$426.58	$660.69
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $1,659.59 / $3,019.95	Professional	TC	$295.12	$1,659.59	$3,019.95
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional	26	$213.80	$213.80	$213.80
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional	TC	$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $1,862.09 / $2,691.53	Professional		$1,659.59	$1,862.09	$2,691.53
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $363.08 / $478.63 / $575.44	Professional	26	$363.08	$478.63	$575.44
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,000.00 / $1,905.46 / $2,238.72	Professional	TC	$1,000.00	$1,905.46	$2,238.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $691.83 / $1,318.26	Professional		$331.13	$691.83	$1,318.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $331.13 / $630.96	Professional	26	$87.10	$331.13	$630.96
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $512.86 / $977.24	Professional	TC	$234.42	$512.86	$977.24

Wisconsin rates for HCPCS 72196