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 $85.11 / $208.93 / $562.34	Facility		$85.11	$208.93	$562.34
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $42.66 / $66.07	Facility	26	$28.84	$42.66	$66.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $107.15 / $446.68	Professional		$47.86	$107.15	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $67.61 / $190.55	Professional	26	$29.51	$67.61	$190.55
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $194.98 / $691.83	Professional	50	$74.13	$194.98	$691.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $61.66 / $281.84	Professional	TC	$43.65	$61.66	$281.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $204.17 / $251.19	Professional		$87.10	$204.17	$251.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $75.86 / $93.33	Professional	26	$34.67	$75.86	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $125.89 / $158.49	Professional	TC	$51.29	$125.89	$158.49
Hally Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $234.42 / $257.04	Professional		$85.11	$234.42	$257.04
Hally Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $97.72 / $134.90	Professional	26	$33.11	$97.72	$134.90
Hally Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $100.00 / $128.82	Professional	TC	$51.29	$100.00	$128.82
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $181.97 / $371.54	Facility		$81.28	$181.97	$371.54
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $109.65 / $147.91 / $147.91	Facility	26	$109.65	$147.91	$147.91
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $138.04 / $549.54	Professional		$83.18	$138.04	$549.54
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $45.71 / $204.17	Professional	26	$33.11	$45.71	$204.17
Medica Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $331.13 / $363.08 / $416.87	Professional	50	$331.13	$363.08	$416.87
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $64.57 / $338.84	Professional	TC	$47.86	$64.57	$338.84
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $181.97 / $331.13	Professional		$165.96	$181.97	$331.13
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $70.79 / $134.90	Professional	26	$64.57	$70.79	$134.90
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $112.20 / $199.53	Professional	TC	$100.00	$112.20	$199.53
Midlands Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Midlands Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $218.78 / $234.42	Professional		$199.53	$218.78	$234.42
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $81.28 / $89.13	Professional	26	$75.86	$81.28	$89.13
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $134.90 / $144.54	Professional	TC	$123.03	$134.90	$144.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $724.44 / $2,041.74	Facility		$213.80	$724.44	$2,041.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $69.18 / $141.25	Professional		$33.11	$69.18	$141.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $190.55 / $245.47	Facility		$109.65	$190.55	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $107.15 / $213.80	Professional		$83.18	$107.15	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $46.77 / $97.72	Professional	26	$33.11	$46.77	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $66.07 / $131.83	Professional	TC	$48.98	$66.07	$131.83
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $67.61	Professional	26	$57.54	$57.54	$67.61
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $109.65	Professional	TC	$93.33	$93.33	$109.65

Iowa rates for HCPCS 76642