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 $218.78 / $281.84 / $416.87	Facility	26	$218.78	$281.84	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $630.96 / $3,715.35	Professional		$363.08	$630.96	$3,715.35
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $223.87 / $891.25	Professional	26	$100.00	$223.87	$891.25
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $371.54 / $724.44	Professional	TC	$251.19	$371.54	$724.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $602.56 / $1,995.26	Professional		$338.84	$602.56	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $162.18 / $588.84	Professional	26	$100.00	$162.18	$588.84
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $489.78 / $1,479.11	Professional	TC	$239.88	$489.78	$1,479.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $281.84 / $416.87	Professional		$131.83	$281.84	$416.87
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $269.15 / $316.23 / $512.86	Facility	26	$269.15	$316.23	$512.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $1,096.48 / $1,412.54	Professional		$467.74	$1,096.48	$1,412.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $245.47 / $426.58	Professional	26	$114.82	$245.47	$426.58
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $794.33 / $1,000.00	Professional	TC	$338.84	$794.33	$1,000.00
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $758.58 / $1,071.52	Professional		$630.96	$758.58	$1,071.52
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $229.09 / $309.03	Professional	26	$190.55	$229.09	$309.03
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $524.81 / $794.33	Professional	TC	$436.52	$524.81	$794.33
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $977.24 / $977.24 / $2,344.23	Facility	26	$977.24	$977.24	$2,344.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,047.13 / $6,025.60	Professional		$457.09	$1,047.13	$6,025.60
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $269.15 / $891.25	Professional	26	$123.03	$269.15	$891.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $741.31 / $5,495.41	Professional	TC	$323.59	$741.31	$5,495.41
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $1,023.29 / $1,412.54	Professional		$426.58	$1,023.29	$1,412.54
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $251.19 / $416.87	Professional	26	$147.91	$251.19	$416.87
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $741.31 / $1,288.25	Professional	TC	$363.08	$741.31	$1,288.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $851.14 / $2,454.71	Professional		$446.68	$851.14	$2,454.71
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $239.88 / $954.99 / $954.99	Facility	26	$239.88	$954.99	$954.99
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $3,467.37 / $6,165.95	Professional		$501.19	$3,467.37	$6,165.95
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $537.03 / $891.25	Professional	26	$151.36	$537.03	$891.25
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $3,090.30 / $5,623.41	Professional	TC	$363.08	$3,090.30	$5,623.41
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	26	$275.42	$275.42	$275.42
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Professional	TC	$660.69	$660.69	$660.69
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,187.76 / $3,311.31	Professional		$1,995.26	$2,187.76	$3,311.31
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $457.09 / $616.60 / $758.58	Professional	26	$457.09	$616.60	$758.58
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,258.93 / $2,290.87 / $2,691.53	Professional	TC	$1,258.93	$2,290.87	$2,691.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $1,513.56 / $2,691.53	Professional		$95.50	$1,513.56	$2,691.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $436.52 / $794.33	Professional	26	$87.10	$436.52	$794.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $588.84 / $2,137.96	Professional	TC	$95.50	$588.84	$2,137.96

Wisconsin rates for HCPCS 72197