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 $93.33 / $239.88 / $794.33	Professional		$93.33	$239.88	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $107.15 / $331.13	Professional	26	$24.55	$107.15	$331.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $100.00 / $562.34	Professional	TC	$69.18	$100.00	$562.34
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $239.88 / $588.84	Professional		$39.81	$239.88	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $63.10 / $165.96	Professional	26	$11.22	$63.10	$165.96
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $177.83 / $436.52	Professional	TC	$28.18	$177.83	$436.52
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $97.72 / $141.25	Facility		$30.20	$97.72	$141.25
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $79.43 / $173.78	Professional		$24.55	$79.43	$173.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $407.38 / $602.56	Facility		$363.08	$407.38	$602.56
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $81.28 / $91.20 / $134.90	Facility	26	$81.28	$91.20	$134.90
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $281.84 / $316.23 / $467.74	Facility	TC	$281.84	$316.23	$467.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $138.04 / $331.13	Professional		$50.12	$138.04	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $31.62 / $79.43	Professional	26	$12.59	$31.62	$79.43
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $104.71 / $257.04	Professional	TC	$37.15	$104.71	$257.04
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $128.82 / $323.59	Facility		$33.11	$128.82	$323.59
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $338.84	Professional		$302.00	$302.00	$338.84
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $79.43	Professional	26	$70.79	$70.79	$79.43
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $234.42 / $257.04	Professional	TC	$234.42	$234.42	$257.04
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $128.82 / $323.59	Facility		$33.11	$128.82	$323.59
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Facility	TC	$389.05	$389.05	$389.05
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $141.25 / $707.95	Professional		$72.44	$141.25	$707.95
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $63.10 / $162.18	Professional	26	$21.88	$63.10	$162.18
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $120.23 / $549.54	Professional	TC	$57.54	$120.23	$549.54
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 $104.71 / $154.88 / $346.74	Professional		$104.71	$154.88	$346.74
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.90 / $81.28	Professional	26	$24.55	$38.90	$81.28
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $120.23 / $263.03	Professional	TC	$79.43	$120.23	$263.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $257.04 / $363.08	Professional		$97.72	$257.04	$363.08
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $707.95	Facility		$208.93	$208.93	$707.95
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $162.18	Facility	26	$100.00	$100.00	$162.18
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $549.54	Facility	TC	$158.49	$158.49	$549.54
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $512.86 / $707.95	Professional		$52.48	$512.86	$707.95
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $134.90 / $162.18	Professional	26	$12.59	$134.90	$162.18
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $371.54 / $549.54	Professional	TC	$39.81	$371.54	$549.54
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $229.09	Professional		$83.18	$83.18	$229.09
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $54.95	Professional	26	$13.18	$13.18	$54.95
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $177.83	Professional	TC	$28.18	$28.18	$177.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $281.84 / $575.44	Professional		$83.18	$281.84	$575.44
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $100.00	Professional	26	$13.18	$13.18	$100.00
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $245.47	Professional	TC	$28.18	$28.18	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $218.78 / $741.31	Professional		$85.11	$218.78	$741.31
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $95.50 / $177.83	Professional	26	$26.92	$95.50	$177.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $95.50 / $363.08	Professional	TC	$63.10	$95.50	$363.08

Wisconsin rates for HCPCS 88312