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 $38.02 / $112.20 / $371.54	Professional		$38.02	$112.20	$371.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $46.77 / $213.80	Professional	26	$10.47	$46.77	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $36.31 / $199.53	Professional	TC	$10.96	$36.31	$199.53
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $120.23 / $281.84	Professional		$41.69	$120.23	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $26.92 / $79.43	Professional	26	$12.30	$26.92	$79.43
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $89.13 / $204.17	Professional	TC	$29.51	$89.13	$204.17
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $36.31 / $53.70	Facility		$12.88	$36.31	$53.70
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $29.51 / $63.10	Professional		$10.23	$29.51	$63.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $154.88 / $229.09	Facility		$134.90	$154.88	$229.09
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.88 / $38.02 / $56.23	Facility	26	$33.88	$38.02	$56.23
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $102.33 / $114.82 / $169.82	Facility	TC	$102.33	$114.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $56.23 / $125.89	Professional		$19.95	$56.23	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.25 / $13.80 / $33.11	Professional	26	$5.25	$13.80	$33.11
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $41.69 / $93.33	Professional	TC	$14.45	$41.69	$93.33
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $60.26 / $169.82	Facility		$30.20	$60.26	$169.82
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $128.82	Professional		$114.82	$114.82	$128.82
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $33.88	Professional	26	$30.20	$30.20	$33.88
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $95.50	Professional	TC	$85.11	$85.11	$95.50
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $60.26 / $177.83	Facility		$30.20	$60.26	$177.83
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	TC	$165.96	$165.96	$165.96
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $67.61 / $363.08	Professional		$31.62	$67.61	$363.08
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $33.88 / $165.96	Professional	26	$10.23	$33.88	$165.96
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $57.54 / $269.15	Professional	TC	$25.70	$57.54	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $58.88 / $85.11	Professional		$19.50	$58.88	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $67.61 / $128.82	Professional		$39.81	$67.61	$128.82
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $16.60 / $34.67	Professional	26	$10.23	$16.60	$34.67
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $50.12 / $95.50	Professional	TC	$29.51	$50.12	$95.50
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $218.78	Professional		$70.79	$104.71	$218.78
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $263.03	Facility		$95.50	$95.50	$263.03
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $190.55	Facility	TC	$100.00	$100.00	$190.55
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $295.12 / $371.54	Professional		$19.95	$295.12	$371.54
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.25 / $93.33 / $190.55	Professional	26	$5.25	$93.33	$190.55
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $239.88 / $275.42	Professional	TC	$14.45	$239.88	$275.42
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $93.33	Professional		$85.11	$85.11	$93.33
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $23.44	Professional	26	$18.62	$18.62	$23.44
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $69.18	Professional	TC	$61.66	$61.66	$69.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $128.82 / $218.78	Professional		$93.33	$128.82	$218.78
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $54.95	Professional	26	$18.62	$18.62	$54.95
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $100.00	Professional	TC	$69.18	$69.18	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $95.50 / $275.42	Professional		$39.81	$95.50	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $57.54 / $95.50	Professional	26	$11.48	$57.54	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $69.18 / $173.78	Professional	TC	$26.92	$69.18	$173.78

Wisconsin rates for HCPCS 88304