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 $48.98 / $48.98 / $69.18	Facility	26	$48.98	$48.98	$69.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $251.19	Professional		$89.13	$117.49	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $51.29 / $177.83	Professional	26	$30.20	$51.29	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $81.28 / $144.54	Professional	TC	$61.66	$81.28	$144.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $165.96 / $588.84	Professional		$107.15	$165.96	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $50.12 / $177.83	Professional	26	$32.36	$50.12	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $117.49 / $398.11	Professional	TC	$75.86	$117.49	$398.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $89.13 / $131.83	Professional		$42.66	$89.13	$131.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $87.10 / $100.00 / $162.18	Facility	26	$87.10	$100.00	$162.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $295.12 / $446.68	Professional		$117.49	$295.12	$446.68
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $87.10 / $134.90	Professional	26	$37.15	$87.10	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $204.17 / $316.23	Professional	TC	$79.43	$204.17	$316.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $239.88 / $323.59	Professional		$199.53	$239.88	$323.59
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $72.44 / $97.72	Professional	26	$60.26	$72.44	$97.72
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $165.96 / $223.87	Professional	TC	$138.04	$165.96	$223.87
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $199.53 / $724.44	Professional		$109.65	$199.53	$724.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $67.61 / $208.93	Professional	26	$35.48	$67.61	$208.93
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $134.90 / $524.81	Professional	TC	$74.13	$134.90	$524.81
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 Professional Modifier Typical Low / Median / Typical High $79.43 / $186.21 / $323.59	Professional		$79.43	$186.21	$323.59
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $100.00	Professional	26	$41.69	$57.54	$100.00
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $128.82 / $204.17	Professional	TC	$93.33	$128.82	$204.17
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $245.47 / $354.81	Professional		$141.25	$245.47	$354.81
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $208.93 / $208.93	Facility	26	$77.62	$208.93	$208.93
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $524.81 / $724.44	Professional		$128.82	$524.81	$724.44
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $173.78 / $208.93	Professional	26	$40.74	$173.78	$208.93
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $354.81 / $524.81	Professional	TC	$87.10	$354.81	$524.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	TC	$208.93	$208.93	$208.93
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $389.05 / $691.83	Professional		$208.93	$389.05	$691.83
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $75.86 / $117.49	Professional	26	$64.57	$75.86	$117.49
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $158.49 / $269.15	Professional	TC	$134.90	$158.49	$269.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $316.23 / $831.76	Professional		$85.11	$316.23	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $104.71 / $218.78	Professional	26	$58.88	$104.71	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $117.49 / $263.03	Professional	TC	$74.13	$117.49	$263.03

Wisconsin rates for HCPCS 74221