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. Small sample — interpret with caution. 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 $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $58.88 / $112.20	Professional		$41.69	$58.88	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.12 / $107.15	Professional	26	$19.05	$25.12	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $36.31 / $67.61	Professional	TC	$25.12	$36.31	$67.61
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $32.36 / $46.77	Facility	26	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $109.65 / $190.55	Professional		$38.90	$109.65	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $46.77 / $83.18	Professional	26	$22.91	$46.77	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $67.61 / $109.65	Professional	TC	$19.95	$67.61	$109.65
Hally Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $107.15 / $234.42	Professional		$63.10	$107.15	$234.42
Hally Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $44.67 / $173.78	Professional	26	$36.31	$44.67	$173.78
Hally Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $66.07 / $85.11	Professional	TC	$30.20	$66.07	$85.11
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $128.82 / $426.58	Professional		$64.57	$128.82	$426.58
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $56.23 / $213.80	Professional	26	$26.30	$56.23	$213.80
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $72.44 / $275.42	Professional	TC	$36.31	$72.44	$275.42
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $194.98	Professional		$93.33	$120.23	$194.98
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $52.48 / $107.15	Professional	26	$32.36	$52.48	$107.15
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $83.18 / $112.20	Professional	TC	$60.26	$83.18	$112.20
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $128.82 / $131.83	Professional		$100.00	$128.82	$131.83
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $52.48 / $57.54	Professional	26	$40.74	$52.48	$57.54
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $75.86 / $75.86	Professional	TC	$58.88	$75.86	$75.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $79.43 / $158.49	Professional		$28.18	$79.43	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $69.18 / $181.97	Professional		$64.57	$69.18	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $46.77 / $100.00	Professional	26	$28.18	$46.77	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $39.81 / $107.15	Professional	TC	$36.31	$39.81	$107.15
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $158.49 / $190.55	Professional		$134.90	$158.49	$190.55
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $53.70 / $63.10	Professional	26	$45.71	$53.70	$63.10
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $107.15 / $125.89	Professional	TC	$91.20	$107.15	$125.89

Iowa rates for HCPCS 88104