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 $120.23 / $323.59 / $588.84	Facility		$120.23	$323.59	$588.84
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $13.80 / $16.98	Facility	26	$12.02	$13.80	$16.98
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $44.67 / $371.54 / $794.33	Facility	TC	$44.67	$371.54	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $40.74 / $141.25	Professional		$8.13	$40.74	$141.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $17.38 / $61.66	Professional	26	$7.59	$17.38	$61.66
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $40.74 / $125.89 / $398.11	Professional	50	$40.74	$125.89	$398.11
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $52.48 / $251.19	Professional	52	$28.18	$52.48	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $41.69 / $95.50	Professional	TC	$21.88	$41.69	$95.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $51.29 / $173.78	Professional		$30.90	$51.29	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $12.30 / $43.65	Professional	26	$7.76	$12.30	$43.65
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $79.43 / $263.03	Professional	50	$48.98	$79.43	$263.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.90 / $134.90	Professional	TC	$22.91	$38.90	$134.90
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $39.81 / $54.95	Facility		$11.48	$39.81	$54.95
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $30.90 / $41.69	Professional		$10.23	$30.90	$41.69
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $109.65 / $173.78	Facility		$93.33	$109.65	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $23.99 / $38.90	Facility	26	$20.89	$23.99	$38.90
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $72.44 / $85.11 / $134.90	Facility	TC	$72.44	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $91.20 / $138.04	Professional		$33.11	$91.20	$138.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $20.89 / $32.36	Professional	26	$9.55	$20.89	$32.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $70.79 / $107.15	Professional	TC	$23.99	$70.79	$107.15
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $61.66 / $295.12	Facility		$29.51	$61.66	$295.12
DeanCare Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $223.87 / $269.15 / $354.81	Facility	TC	$223.87	$269.15	$354.81
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $74.13 / $102.33	Professional		$63.10	$74.13	$102.33
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $17.78 / $23.99	Professional	26	$14.79	$17.78	$23.99
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $112.20 / $151.36	Professional	50	$93.33	$112.20	$151.36
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $57.54 / $72.44	Professional	TC	$47.86	$57.54	$72.44
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $83.18 / $346.74	Facility		$29.51	$83.18	$346.74
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $138.04	Facility	26	$100.00	$100.00	$138.04
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $117.49 / $251.19 / $436.52	Facility	TC	$117.49	$251.19	$436.52
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $72.44 / $218.78	Professional		$32.36	$72.44	$218.78
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $22.39 / $77.62	Professional	26	$9.33	$22.39	$77.62
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $44.67 / $169.82	Professional	TC	$23.99	$44.67	$169.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $67.61 / $134.90	Professional		$38.90	$67.61	$134.90
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $18.62 / $30.20	Professional	26	$11.48	$18.62	$30.20
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $47.86 / $104.71	Professional	TC	$32.36	$47.86	$104.71
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $87.10 / $138.04	Professional		$45.71	$87.10	$138.04
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $363.08 / $363.08	Facility		$85.11	$363.08	$363.08
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $169.82 / $169.82	Facility	TC	$100.00	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $158.49 / $218.78	Professional		$48.98	$158.49	$218.78
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $41.69 / $67.61	Professional	26	$11.48	$41.69	$67.61
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $117.49 / $169.82	Professional	TC	$36.31	$117.49	$169.82
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Professional	26	$20.89	$20.89	$20.89
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 $66.07 / $177.83 / $213.80	Professional		$66.07	$177.83	$213.80
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $23.44 / $48.98	Professional	26	$18.62	$23.44	$48.98
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $51.29 / $125.89	Professional	TC	$47.86	$51.29	$125.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $104.71 / $302.00	Facility		$9.33	$104.71	$302.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $95.50 / $251.19	Professional		$48.98	$95.50	$251.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $52.48 / $95.50	Professional	26	$14.79	$52.48	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $95.50 / $186.21	Professional	TC	$39.81	$95.50	$186.21

Wisconsin rates for HCPCS 73560