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 $67.61 / $309.03 / $954.99	Professional		$67.61	$309.03	$954.99
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $229.09 / $912.01	Professional	26	$35.48	$229.09	$912.01
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $162.18 / $891.25	Professional	TC	$32.36	$162.18	$891.25
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $194.98 / $489.78	Professional		$70.79	$194.98	$489.78
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $89.13 / $263.03	Professional	26	$39.81	$89.13	$263.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $93.33 / $218.78	Professional	TC	$30.20	$93.33	$218.78
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $91.20	Facility		$34.67	$46.77	$91.20
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.02 / $81.28	Professional		$33.11	$38.02	$81.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $257.04 / $380.19	Facility		$229.09	$257.04	$380.19
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $128.82 / $190.55	Facility	26	$114.82	$128.82	$190.55
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $114.82 / $131.83 / $190.55	Facility	TC	$114.82	$131.83	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $95.50 / $234.42	Professional		$33.88	$95.50	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $44.67 / $109.65	Professional	26	$17.78	$44.67	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $47.86 / $104.71	Professional	TC	$16.60	$47.86	$104.71
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $100.00 / $275.42	Facility		$51.29	$100.00	$275.42
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $218.78	Professional		$194.98	$194.98	$218.78
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $109.65	Professional	26	$100.00	$100.00	$109.65
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $107.15	Professional	TC	$95.50	$95.50	$107.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $100.00 / $309.03	Facility		$51.29	$100.00	$309.03
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Facility	TC	$213.80	$213.80	$213.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $128.82 / $549.54	Professional		$63.10	$128.82	$549.54
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $154.88 / $281.84	Professional	26	$38.02	$154.88	$281.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $97.72 / $346.74	Professional	TC	$28.84	$97.72	$346.74
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $114.82 / $218.78	Professional		$67.61	$114.82	$218.78
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $54.95 / $114.82	Professional	26	$33.88	$54.95	$114.82
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $56.23 / $104.71	Professional	TC	$33.11	$56.23	$104.71
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $177.83 / $295.12	Professional		$123.03	$177.83	$295.12
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $446.68	Facility		$144.54	$144.54	$446.68
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $229.09	Facility	26	$100.00	$100.00	$229.09
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $218.78	Facility	TC	$100.00	$100.00	$218.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $501.19 / $562.34	Professional		$37.15	$501.19	$562.34
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $190.55 / $295.12	Professional	26	$17.78	$190.55	$295.12
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $316.23 / $363.08	Professional	TC	$16.60	$316.23	$363.08
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $147.91	Professional		$141.25	$141.25	$147.91
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $77.62	Professional	26	$64.57	$64.57	$77.62
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $37.15 / $69.18	Professional	TC	$37.15	$37.15	$69.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $213.80 / $371.54	Professional		$141.25	$213.80	$371.54
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $162.18	Professional	26	$64.57	$64.57	$162.18
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $37.15 / $100.00	Professional	TC	$37.15	$37.15	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $158.49 / $478.63	Professional		$69.18	$158.49	$478.63
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $147.91 / $295.12	Professional	26	$38.90	$147.91	$295.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $95.50 / $223.87	Professional	TC	$33.11	$95.50	$223.87

Wisconsin rates for HCPCS 88305