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 Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $426.58	Professional		$57.54	$95.50	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $57.54 / $380.19	Professional	26	$23.99	$57.54	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $43.65 / $141.25	Professional	TC	$32.36	$43.65	$141.25
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $177.83 / $398.11	Professional		$40.74	$177.83	$398.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $85.11 / $177.83	Professional	26	$22.39	$85.11	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $91.20 / $229.09	Professional	TC	$18.62	$91.20	$229.09
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $46.77 / $85.11	Facility		$31.62	$46.77	$85.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $41.69 / $83.18	Professional		$25.12	$41.69	$83.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $245.47 / $363.08	Facility		$218.78	$245.47	$363.08
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $95.50 / $141.25	Facility	26	$85.11	$95.50	$141.25
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $131.83 / $151.36 / $223.87	Facility	TC	$131.83	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $87.10 / $199.53	Professional		$31.62	$87.10	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $34.67 / $81.28	Professional	26	$13.18	$34.67	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $51.29 / $117.49	Professional	TC	$19.05	$51.29	$117.49
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $123.03 / $302.00	Facility		$57.54	$123.03	$302.00
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $204.17	Professional		$186.21	$186.21	$204.17
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $81.28	Professional	26	$74.13	$74.13	$81.28
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $109.65 / $123.03	Professional	TC	$109.65	$109.65	$123.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $123.03 / $363.08	Facility		$57.54	$123.03	$363.08
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $104.71 / $645.65	Professional		$52.48	$104.71	$645.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $87.10 / $512.86	Professional	26	$26.92	$87.10	$512.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $57.54 / $309.03	Professional	TC	$28.84	$57.54	$309.03
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $107.15 / $204.17	Professional		$63.10	$107.15	$204.17
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $42.66 / $85.11	Professional	26	$25.12	$42.66	$85.11
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $60.26 / $120.23	Professional	TC	$38.02	$60.26	$120.23
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $223.87	Professional		$114.82	$154.88	$223.87
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $416.87	Facility		$173.78	$173.78	$416.87
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $97.72 / $97.72 / $234.42	Facility	26	$97.72	$97.72	$234.42
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $75.86 / $75.86 / $251.19	Facility	TC	$75.86	$75.86	$251.19
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $489.78 / $645.65	Professional		$32.36	$489.78	$645.65
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $281.84 / $512.86	Professional	26	$13.49	$281.84	$512.86
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $208.93 / $323.59	Professional	TC	$19.05	$208.93	$323.59
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $138.04	Professional		$112.20	$112.20	$138.04
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $64.57	Professional	26	$57.54	$57.54	$64.57
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $79.43	Professional	TC	$28.18	$28.18	$79.43
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $234.42 / $426.58	Professional		$112.20	$234.42	$426.58
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $128.82	Professional	26	$64.57	$64.57	$128.82
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $134.90	Professional	TC	$28.18	$28.18	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $147.91 / $512.86	Professional		$64.57	$147.91	$512.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $95.50 / $204.17	Professional	26	$28.18	$95.50	$204.17
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $89.13 / $194.98	Professional	TC	$31.62	$89.13	$194.98

Wisconsin rates for HCPCS 88112