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 $125.89 / $186.21 / $741.31	Professional		$125.89	$186.21	$741.31
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $213.80 / $602.56	Professional	26	$63.10	$213.80	$602.56
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $89.13 / $218.78	Professional	TC	$64.57	$89.13	$218.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $331.13 / $912.01	Professional		$63.10	$331.13	$912.01
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $165.96 / $436.52	Professional	26	$30.20	$165.96	$436.52
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $186.21 / $467.74	Professional	TC	$33.11	$186.21	$467.74
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $117.49 / $213.80	Facility		$79.43	$117.49	$213.80
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $104.71 / $208.93	Professional		$64.57	$104.71	$208.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $602.56 / $891.25	Facility		$537.03	$602.56	$891.25
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $213.80 / $245.47 / $354.81	Facility	26	$213.80	$245.47	$354.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $213.80 / $478.63	Professional		$74.13	$213.80	$478.63
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $83.18 / $208.93	Professional	26	$33.11	$83.18	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $128.82 / $281.84	Professional	TC	$38.02	$128.82	$281.84
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $186.21 / $501.19	Facility		$107.15	$186.21	$501.19
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $512.86	Professional		$467.74	$467.74	$512.86
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $186.21 / $204.17	Professional	26	$186.21	$186.21	$204.17
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $281.84 / $309.03	Professional	TC	$281.84	$281.84	$309.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $190.55 / $501.19	Facility		$107.15	$190.55	$501.19
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	26	$309.03	$309.03	$309.03
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $169.82 / $1,949.84	Professional		$109.65	$169.82	$1,949.84
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $165.96 / $436.52	Professional	26	$54.95	$165.96	$436.52
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $95.50 / $562.34	Professional	TC	$54.95	$95.50	$562.34
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $70.79	Professional		$30.90	$50.12	$70.79
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $239.88 / $501.19	Professional		$158.49	$239.88	$501.19
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $102.33 / $213.80	Professional	26	$64.57	$102.33	$213.80
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $144.54 / $281.84	Professional	TC	$85.11	$144.54	$281.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $398.11 / $562.34	Professional		$218.78	$398.11	$562.34
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $1,000.00	Facility		$316.23	$316.23	$1,000.00
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $436.52	Facility	26	$128.82	$128.82	$436.52
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $758.58 / $1,949.84	Professional		$79.43	$758.58	$1,949.84
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $363.08 / $436.52	Professional	26	$33.11	$363.08	$436.52
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $389.05 / $562.34	Professional	TC	$43.65	$389.05	$562.34
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $323.59	Professional		$181.97	$181.97	$323.59
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $144.54	Professional	26	$91.20	$91.20	$144.54
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $177.83	Professional	TC	$57.54	$57.54	$177.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $436.52 / $870.96	Professional		$181.97	$436.52	$870.96
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $257.04	Professional	26	$91.20	$91.20	$257.04
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $275.42	Professional	TC	$57.54	$57.54	$275.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $269.15 / $831.76	Professional		$95.50	$269.15	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $114.82 / $363.08	Professional	26	$70.79	$114.82	$363.08
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $95.50 / $426.58	Professional	TC	$63.10	$95.50	$426.58

Wisconsin rates for HCPCS 88173