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 $26.30 / $46.77 / $69.18	Facility	26	$26.30	$46.77	$69.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $87.10 / $275.42	Professional		$48.98	$87.10	$275.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $45.71 / $151.36	Professional	26	$23.44	$45.71	$151.36
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $45.71 / $63.10 / $295.12	Professional	52	$45.71	$63.10	$295.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $47.86 / $97.72	Professional	TC	$25.12	$47.86	$97.72
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $102.33 / $309.03	Professional		$54.95	$102.33	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $40.74 / $134.90	Professional	26	$26.30	$40.74	$134.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $61.66 / $186.21	Professional	TC	$28.18	$61.66	$186.21
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $43.65 / $85.11	Professional		$30.20	$43.65	$85.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $81.28 / $131.83	Facility	26	$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $177.83 / $234.42	Professional		$81.28	$177.83	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $79.43 / $109.65	Professional	26	$30.20	$79.43	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $102.33 / $123.03	Professional	TC	$44.67	$102.33	$123.03
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $120.23 / $173.78	Professional		$104.71	$120.23	$173.78
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $56.23 / $75.86	Professional	26	$48.98	$56.23	$75.86
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $64.57 / $151.36	Professional	TC	$56.23	$64.57	$151.36
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $251.19	Facility	26	$123.03	$123.03	$251.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $151.36 / $446.68	Professional		$81.28	$151.36	$446.68
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $53.70 / $263.03	Professional	26	$28.84	$53.70	$263.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $102.33 / $398.11	Professional	TC	$52.48	$102.33	$398.11
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $144.54 / $245.47	Professional		$77.62	$144.54	$245.47
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $93.33	Professional	26	$34.67	$46.77	$93.33
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $79.43 / $169.82	Professional	TC	$40.74	$79.43	$169.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $147.91 / $269.15	Professional		$79.43	$147.91	$269.15
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $173.78 / $173.78	Facility	26	$100.00	$173.78	$173.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $380.19 / $457.09	Professional		$83.18	$380.19	$457.09
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $141.25 / $263.03	Professional	26	$30.90	$141.25	$263.03
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $239.88 / $407.38	Professional	TC	$48.98	$239.88	$407.38
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	TC	$79.43	$79.43	$79.43
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $309.03 / $501.19	Professional		$213.80	$309.03	$501.19
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $91.20 / $147.91	Professional	26	$77.62	$91.20	$147.91
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $173.78 / $229.09	Professional	TC	$109.65	$173.78	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $194.98 / $436.52	Professional		$85.11	$194.98	$436.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $100.00 / $208.93	Professional	26	$50.12	$100.00	$208.93
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $79.43 / $194.98	Professional	TC	$47.86	$79.43	$194.98

Wisconsin rates for HCPCS 76604