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 $15.85 / $25.70 / $147.91	Professional		$15.85	$25.70	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $26.30 / $112.20	Professional	26	$11.22	$26.30	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.03 / $8.91 / $21.88	Professional	TC	$6.03	$8.91	$21.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $47.86 / $128.82	Professional		$9.12	$47.86	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $29.51 / $77.62	Professional	26	$5.37	$29.51	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $20.42 / $51.29	Professional	TC	$3.72	$20.42	$51.29
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $14.13 / $25.12	Facility		$9.33	$14.13	$25.12
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $12.30 / $26.92	Professional		$7.59	$12.30	$26.92
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $72.44 / $107.15	Facility		$63.10	$72.44	$107.15
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $40.74 / $60.26	Facility	26	$35.48	$40.74	$60.26
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $30.90 / $45.71	Facility	TC	$27.54	$30.90	$45.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $25.70 / $60.26	Professional		$9.33	$25.70	$60.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $15.14 / $36.31	Professional	26	$5.75	$15.14	$36.31
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $10.72 / $25.12	Professional	TC	$3.63	$10.72	$25.12
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $33.11 / $69.18	Facility		$17.78	$33.11	$69.18
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $35.48	Professional	26	$32.36	$32.36	$35.48
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $21.88 / $23.99	Professional	TC	$21.88	$21.88	$23.99
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $33.11 / $100.00	Facility		$17.78	$33.11	$100.00
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $28.84 / $131.83	Professional		$15.14	$28.84	$131.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $26.92 / $95.50	Professional	26	$9.55	$26.92	$95.50
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.62 / $8.32 / $95.50	Professional	TC	$5.62	$8.32	$95.50
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $58.88 / $85.11	Professional		$20.89	$58.88	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $30.20 / $61.66	Professional		$18.62	$30.20	$61.66
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $18.20 / $37.15	Professional	26	$11.22	$18.20	$37.15
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.59 / $12.02 / $25.12	Professional	TC	$7.59	$12.02	$25.12
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $67.61	Professional		$34.67	$48.98	$67.61
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $131.83	Facility		$38.02	$38.02	$131.83
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 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $104.71 / $131.83	Professional		$9.33	$104.71	$131.83
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $63.10 / $95.50	Professional	26	$5.75	$63.10	$95.50
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.80 / $41.69 / $95.50	Professional	TC	$3.80	$41.69	$95.50
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $42.66	Professional		$33.11	$33.11	$42.66
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $9.77 / $25.70	Professional	26	$9.77	$9.77	$25.70
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.41 / $7.41 / $16.98	Professional	TC	$7.41	$7.41	$16.98
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $104.71	Professional		$33.11	$45.71	$104.71
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $9.77 / $45.71	Professional	26	$9.77	$9.77	$45.71
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.41 / $7.41 / $30.90	Professional	TC	$7.41	$7.41	$30.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $43.65 / $97.72	Professional		$16.60	$43.65	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $63.10 / $95.50	Professional	26	$12.59	$63.10	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.13 / $8.32 / $17.78	Professional	TC	$5.13	$8.32	$17.78

Wisconsin rates for HCPCS 88311