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 Typical Low / Median / Typical High $109.65 / $316.23 / $575.44	Facility		$109.65	$316.23	$575.44
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $15.14 / $18.20	Facility	26	$12.88	$15.14	$18.20
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $45.71 / $316.23 / $524.81	Facility	TC	$45.71	$316.23	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $34.67 / $138.04	Professional		$8.71	$34.67	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $16.22 / $56.23	Professional	26	$7.94	$16.22	$56.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $134.90 / $177.83 / $616.60	Professional	50	$134.90	$177.83	$616.60
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $72.44	Professional	TC	$20.89	$32.36	$72.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $53.70 / $181.97	Professional		$34.67	$53.70	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $14.45 / $47.86	Professional	26	$8.51	$14.45	$47.86
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $51.29 / $83.18 / $269.15	Professional	50	$51.29	$83.18	$269.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $39.81 / $134.90	Professional	TC	$25.70	$39.81	$134.90
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $40.74 / $57.54	Facility		$12.59	$40.74	$57.54
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $32.36 / $43.65	Professional		$11.22	$32.36	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $26.30 / $41.69	Facility	26	$22.39	$26.30	$41.69
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $74.13 / $87.10 / $138.04	Facility	TC	$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $95.50 / $144.54	Professional		$35.48	$95.50	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $22.39 / $35.48	Professional	26	$10.00	$22.39	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $74.13 / $109.65	Professional	TC	$25.70	$74.13	$109.65
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $70.79 / $323.59	Facility		$30.90	$70.79	$323.59
DeanCare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $229.09 / $281.84 / $371.54	Facility	TC	$229.09	$281.84	$371.54
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $104.71	Professional		$66.07	$77.62	$104.71
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $19.05 / $25.70	Professional	26	$16.22	$19.05	$25.70
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $97.72 / $117.49 / $158.49	Professional	50	$97.72	$117.49	$158.49
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $58.88 / $75.86	Professional	TC	$50.12	$58.88	$75.86
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $69.18 / $295.12	Facility		$30.20	$69.18	$295.12
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $204.17	Facility	26	$70.79	$70.79	$204.17
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $117.49 / $436.52 / $501.19	Facility	TC	$117.49	$436.52	$501.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $64.57 / $223.87	Professional		$33.88	$64.57	$223.87
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $19.05 / $54.95	Professional	26	$9.55	$19.05	$54.95
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $44.67 / $169.82	Professional	TC	$25.12	$44.67	$169.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $91.20 / $141.25	Professional		$44.67	$91.20	$141.25
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $22.39 / $33.11	Professional	26	$12.59	$22.39	$33.11
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $67.61 / $107.15	Professional	TC	$36.31	$67.61	$107.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $125.89	Professional		$43.65	$83.18	$125.89
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $363.08 / $363.08	Facility		$83.18	$363.08	$363.08
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $70.79 / $70.79	Facility	26	$20.42	$70.79	$70.79
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $61.66 / $169.82 / $169.82	Facility	TC	$61.66	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $165.96 / $223.87	Professional		$38.90	$165.96	$223.87
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $44.67 / $54.95	Professional	26	$11.22	$44.67	$54.95
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $120.23 / $169.82	Professional	TC	$27.54	$120.23	$169.82
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	TC	$67.61	$67.61	$67.61
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $162.18 / $223.87	Professional		$63.10	$162.18	$223.87
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $20.89 / $30.90	Professional	26	$16.60	$20.89	$30.90
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $48.98 / $95.50	Professional	TC	$41.69	$48.98	$95.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $104.71 / $302.00	Facility		$10.00	$104.71	$302.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $263.03	Professional		$57.54	$95.50	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $56.23 / $95.50	Professional	26	$16.98	$56.23	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $44.67 / $123.03	Professional	TC	$25.70	$44.67	$123.03

Wisconsin rates for HCPCS 73552