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 $51.29 / $72.44 / $128.82	Professional		$51.29	$72.44	$128.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $24.55 / $47.86	Professional	26	$19.95	$24.55	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $46.77 / $89.13	Professional	TC	$31.62	$46.77	$89.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $158.49 / $389.05	Professional		$26.92	$158.49	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $58.88 / $154.88	Professional	26	$10.47	$58.88	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $97.72 / $234.42	Professional	TC	$16.60	$97.72	$234.42
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $87.10 / $128.82	Facility	26	$77.62	$87.10	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $102.33 / $234.42	Professional		$33.88	$102.33	$234.42
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 $20.89 / $72.44 / $162.18	Professional	TC	$20.89	$72.44	$162.18
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $251.19	Professional		$229.09	$229.09	$251.19
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $75.86	Professional	26	$67.61	$67.61	$75.86
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $177.83	Professional	TC	$158.49	$158.49	$177.83
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 $47.86 / $85.11 / $467.74	Professional		$47.86	$85.11	$467.74
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.70 / $186.21	Professional	26	$17.78	$25.70	$186.21
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $45.71 / $309.03	Professional	TC	$26.92	$45.71	$309.03
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 $69.18 / $117.49 / $234.42	Professional		$69.18	$117.49	$234.42
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $36.31 / $77.62	Professional	26	$23.44	$36.31	$77.62
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $81.28 / $158.49	Professional	TC	$39.81	$81.28	$158.49
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $194.98 / $275.42	Professional		$114.82	$194.98	$275.42
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $154.88	Facility	26	$100.00	$100.00	$154.88
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $331.13 / $467.74	Professional		$38.90	$331.13	$467.74
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $128.82 / $186.21	Professional	26	$11.75	$128.82	$186.21
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $218.78 / $309.03	Professional	TC	$25.70	$218.78	$309.03
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $151.36	Professional		$109.65	$109.65	$151.36
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $52.48	Professional	26	$19.05	$19.05	$52.48
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $97.72	Professional	TC	$28.84	$28.84	$97.72
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $199.53 / $416.87	Professional		$109.65	$199.53	$416.87
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $91.20	Professional	26	$19.05	$19.05	$91.20
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $138.04	Professional	TC	$28.84	$28.84	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $66.07 / $162.18	Professional		$41.69	$66.07	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $66.07 / $125.89	Professional	26	$22.91	$66.07	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $40.74 / $114.82	Professional	TC	$25.12	$40.74	$114.82

Wisconsin rates for HCPCS 88161