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 $52.48 / $70.79 / $138.04	Professional		$52.48	$70.79	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $25.12 / $52.48	Professional	26	$20.89	$25.12	$52.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $46.77 / $89.13	Professional	TC	$33.11	$46.77	$89.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $154.88 / $426.58	Professional		$29.51	$154.88	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $61.66 / $162.18	Professional	26	$10.96	$61.66	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $102.33 / $263.03	Professional	TC	$18.62	$102.33	$263.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $89.13 / $131.83	Facility	26	$77.62	$89.13	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $97.72 / $229.09	Professional		$33.88	$97.72	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $30.90 / $75.86	Professional	26	$11.75	$30.90	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $70.79 / $154.88	Professional	TC	$21.38	$70.79	$154.88
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $251.19	Professional		$223.87	$223.87	$251.19
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $75.86	Professional	26	$69.18	$69.18	$75.86
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $173.78	Professional	TC	$158.49	$158.49	$173.78
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $77.62 / $457.09	Professional		$46.77	$77.62	$457.09
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $26.30 / $158.49	Professional	26	$18.20	$26.30	$158.49
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $48.98 / $302.00	Professional	TC	$27.54	$48.98	$302.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $117.49 / $229.09	Professional		$67.61	$117.49	$229.09
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $38.02 / $79.43	Professional	26	$23.44	$38.02	$79.43
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $81.28 / $151.36	Professional	TC	$38.02	$81.28	$151.36
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $190.55 / $269.15	Professional		$107.15	$190.55	$269.15
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $158.49	Facility	26	$100.00	$100.00	$158.49
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $346.74 / $457.09	Professional		$38.02	$346.74	$457.09
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $131.83 / $158.49	Professional	26	$11.75	$131.83	$158.49
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $213.80 / $302.00	Professional	TC	$23.99	$213.80	$302.00
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $147.91	Professional		$44.67	$44.67	$147.91
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $52.48	Professional	26	$19.95	$19.95	$52.48
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $93.33	Professional	TC	$33.11	$33.11	$93.33
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $91.20 / $407.38	Professional		$44.67	$91.20	$407.38
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $95.50	Professional	26	$19.95	$19.95	$95.50
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $158.49	Professional	TC	$33.11	$33.11	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $69.18 / $158.49	Professional		$41.69	$69.18	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $72.44 / $131.83	Professional	26	$23.44	$72.44	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $42.66 / $109.65	Professional	TC	$25.70	$42.66	$109.65

Wisconsin rates for HCPCS 88160