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 $83.18 / $213.80 / $562.34	Facility		$83.18	$213.80	$562.34
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $52.48 / $64.57	Facility	26	$45.71	$52.48	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $79.43 / $186.21	Professional		$40.74	$79.43	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $45.71 / $181.97	Professional	26	$25.70	$45.71	$181.97
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $186.21 / $363.08	Professional	50	$95.50	$186.21	$363.08
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $23.99 / $60.26	Professional	TC	$14.13	$23.99	$60.26
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $87.10 / $295.12	Professional		$46.77	$87.10	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $53.70 / $165.96	Professional	26	$29.51	$53.70	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $69.18 / $131.83 / $436.52	Professional	50	$69.18	$131.83	$436.52
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $33.88 / $114.82	Professional	TC	$16.98	$33.88	$114.82
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $47.86 / $77.62	Facility		$24.55	$47.86	$77.62
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $38.02 / $70.79	Professional		$21.38	$38.02	$70.79
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $151.36 / $239.88	Facility		$128.82	$151.36	$239.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $81.28 / $95.50 / $151.36	Facility	26	$81.28	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $154.88 / $199.53	Professional		$69.18	$154.88	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $89.13 / $125.89	Professional	26	$39.81	$89.13	$125.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $63.10 / $72.44	Professional	TC	$26.30	$63.10	$72.44
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $117.49 / $691.83	Facility		$45.71	$117.49	$691.83
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $100.00 / $144.54	Professional		$87.10	$100.00	$144.54
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $63.10 / $109.65	Professional	26	$54.95	$63.10	$109.65
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $131.83 / $147.91 / $213.80	Professional	50	$131.83	$147.91	$213.80
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $36.31 / $81.28	Professional	TC	$31.62	$36.31	$81.28
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $104.71 / $269.15	Facility		$45.71	$104.71	$269.15
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $141.25 / $660.69	Professional		$61.66	$141.25	$660.69
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $77.62 / $338.84	Professional	26	$37.15	$77.62	$338.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $63.10 / $407.38	Professional	TC	$24.55	$63.10	$407.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $194.98	Facility		$74.13	$74.13	$194.98
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $123.03 / $218.78	Professional		$64.57	$123.03	$218.78
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $77.62 / $125.89	Professional	26	$40.74	$77.62	$125.89
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $45.71 / $95.50	Professional	TC	$22.91	$45.71	$95.50
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $117.49 / $239.88	Professional		$63.10	$117.49	$239.88
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $338.84 / $338.84	Facility		$158.49	$338.84	$338.84
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $199.53 / $199.53	Facility	26	$100.00	$199.53	$199.53
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $389.05 / $676.08	Professional		$75.86	$389.05	$676.08
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $165.96 / $338.84	Professional	26	$43.65	$165.96	$338.84
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $229.09 / $416.87	Professional	TC	$27.54	$229.09	$416.87
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $288.40 / $380.19	Professional		$229.09	$288.40	$380.19
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $154.88 / $194.98	Professional	26	$109.65	$154.88	$194.98
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $112.20 / $141.25	Professional	TC	$61.66	$112.20	$141.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $186.21 / $363.08	Facility		$30.90	$186.21	$363.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $109.65 / $218.78	Professional		$56.23	$109.65	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $63.10 / $134.90	Professional	26	$33.88	$63.10	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $46.77 / $107.15	Professional	TC	$21.38	$46.77	$107.15

Wisconsin rates for HCPCS 76512