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 $46.77 / $61.66 / $104.71	Professional		$46.77	$61.66	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.89 / $60.26	Professional	26	$15.14	$20.89	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $39.81 / $58.88	Professional	TC	$28.18	$39.81	$58.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $109.65 / $194.98	Professional		$41.69	$109.65	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $45.71 / $75.86	Professional	26	$20.42	$45.71	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $67.61 / $104.71	Professional	TC	$20.89	$67.61	$104.71
Hally Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $91.20 / $131.83	Professional		$61.66	$91.20	$131.83
Hally Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $40.74 / $61.66	Professional	26	$31.62	$40.74	$61.66
Hally Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $50.12 / $91.20	Professional	TC	$12.88	$50.12	$91.20
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $117.49 / $467.74	Professional		$54.95	$117.49	$467.74
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $51.29 / $186.21	Professional	26	$23.99	$51.29	$186.21
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $69.18 / $309.03	Professional	TC	$30.90	$69.18	$309.03
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $134.90 / $194.98	Professional		$97.72	$134.90	$194.98
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $46.77 / $95.50	Professional	26	$29.51	$46.77	$95.50
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $67.61 / $104.71	Professional	TC	$57.54	$67.61	$104.71
Midlands Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $138.04	Professional		$85.11	$125.89	$138.04
Midlands Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $48.98 / $51.29	Professional	26	$35.48	$48.98	$51.29
Midlands Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $74.13 / $89.13	Professional	TC	$48.98	$74.13	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $77.62 / $154.88	Professional		$25.12	$77.62	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $69.18 / $177.83	Professional		$63.10	$69.18	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $39.81 / $95.50	Professional	26	$25.12	$39.81	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $43.65 / $104.71	Professional	TC	$37.15	$43.65	$104.71
Wellmark Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $169.82 / $199.53	Professional		$144.54	$169.82	$199.53
Wellmark Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $48.98 / $57.54	Professional	26	$41.69	$48.98	$57.54
Wellmark Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $117.49 / $141.25	Professional	TC	$100.00	$117.49	$141.25

Iowa rates for HCPCS 88161