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 $44.67 / $44.67 / $64.57	Facility	26	$44.67	$44.67	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $77.62 / $181.97	Professional		$56.23	$77.62	$181.97
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.88 / $81.28	Professional	26	$22.91	$33.88	$81.28
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $213.80 / $257.04	Professional	50	$66.07	$213.80	$257.04
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	52	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $79.43	Professional	TC	$30.20	$40.74	$79.43
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $100.00 / $354.81	Professional		$64.57	$100.00	$354.81
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $45.71 / $154.88	Professional	26	$29.51	$45.71	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $97.72 / $151.36 / $537.03	Professional	50	$97.72	$151.36	$537.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $54.95 / $190.55	Professional	TC	$35.48	$54.95	$190.55
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $45.71 / $100.00	Professional		$38.02	$45.71	$100.00
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $93.33 / $147.91	Facility	26	$79.43	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $199.53 / $281.84	Professional		$85.11	$199.53	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $85.11 / $123.03	Professional	26	$32.36	$85.11	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $109.65 / $154.88	Professional	TC	$51.29	$109.65	$154.88
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $141.25 / $190.55	Professional		$123.03	$141.25	$190.55
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $63.10 / $85.11	Professional	26	$54.95	$63.10	$85.11
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $186.21 / $213.80 / $288.40	Professional	50	$186.21	$213.80	$288.40
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $79.43 / $109.65	Professional	TC	$69.18	$79.43	$109.65
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $147.91 / $501.19	Professional		$69.18	$147.91	$501.19
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $58.88 / $323.59	Professional	26	$31.62	$58.88	$323.59
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $83.18 / $323.59	Professional	TC	$38.02	$83.18	$323.59
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $239.88	Professional		$91.20	$131.83	$239.88
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $52.48 / $109.65	Professional	26	$39.81	$52.48	$109.65
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $83.18 / $147.91	Professional	TC	$50.12	$83.18	$147.91
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $169.82 / $302.00	Professional		$91.20	$169.82	$302.00
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $190.55 / $190.55	Facility	26	$100.00	$190.55	$190.55
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $323.59 / $501.19	Professional		$97.72	$323.59	$501.19
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $154.88 / $323.59	Professional	26	$32.36	$154.88	$323.59
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $169.82 / $323.59	Professional	TC	$54.95	$169.82	$323.59
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $302.00 / $489.78	Professional		$204.17	$302.00	$489.78
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $97.72 / $177.83	Professional	26	$91.20	$97.72	$177.83
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $151.36 / $213.80	Professional	TC	$109.65	$151.36	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $109.65 / $239.88	Professional		$67.61	$109.65	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $43.65 / $112.20	Professional	26	$30.20	$43.65	$112.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $64.57 / $128.82	Professional	TC	$37.15	$64.57	$128.82

Wisconsin rates for HCPCS 76519