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 $331.13 / $416.87 / $616.60	Professional		$331.13	$416.87	$616.60
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $97.72	Professional	26	$38.90	$47.86	$97.72
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $371.54 / $537.03	Professional	TC	$288.40	$371.54	$537.03
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $1,202.26 / $2,754.23	Professional		$218.78	$1,202.26	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $131.83 / $309.03	Professional	26	$20.89	$131.83	$309.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $1,096.48 / $2,511.89	Professional	TC	$194.98	$1,096.48	$2,511.89
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $147.91 / $165.96 / $245.47	Facility	26	$147.91	$165.96	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $501.19 / $1,230.27	Professional		$190.55	$501.19	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $58.88 / $141.25	Professional	26	$22.91	$58.88	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $457.09 / $1,096.48	Professional	TC	$165.96	$457.09	$1,096.48
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,230.27	Professional		$1,096.48	$1,096.48	$1,230.27
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $141.25	Professional	26	$128.82	$128.82	$141.25
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $977.24 / $977.24 / $1,071.52	Professional	TC	$977.24	$977.24	$1,071.52
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $446.68 / $2,754.23	Professional		$323.59	$446.68	$2,754.23
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $50.12 / $309.03	Professional	26	$33.88	$50.12	$309.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $380.19 / $2,454.71	Professional	TC	$295.12	$380.19	$2,454.71
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $64.57 / $724.44	Professional		$32.36	$64.57	$724.44
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $602.56 / $1,288.25	Professional		$380.19	$602.56	$1,288.25
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $70.79 / $147.91	Professional	26	$44.67	$70.79	$147.91
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $537.03 / $1,148.15	Professional	TC	$331.13	$537.03	$1,148.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $933.25 / $1,380.38	Professional		$691.83	$933.25	$1,380.38
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $295.12	Facility	26	$89.13	$89.13	$295.12
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $2,137.96 / $2,754.23	Professional		$190.55	$2,137.96	$2,754.23
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $251.19 / $309.03	Professional	26	$23.44	$251.19	$309.03
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $1,905.46 / $2,454.71	Professional	TC	$165.96	$1,905.46	$2,454.71
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $891.25	Professional		$398.11	$398.11	$891.25
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $100.00	Professional	26	$38.02	$38.02	$100.00
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $794.33	Professional	TC	$363.08	$363.08	$794.33
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,548.82 / $2,691.53	Professional		$398.11	$1,548.82	$2,691.53
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $181.97	Professional	26	$38.02	$38.02	$181.97
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $1,698.24	Professional	TC	$363.08	$363.08	$1,698.24
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $426.58 / $1,071.52	Professional		$269.15	$426.58	$1,071.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $50.12 / $134.90	Professional	26	$30.20	$50.12	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $380.19 / $933.25	Professional	TC	$239.88	$380.19	$933.25

Wisconsin rates for HCPCS 88121