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 / $134.90 / $588.84	Professional		$67.61	$134.90	$588.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $51.29 / $173.78	Professional	26	$11.48	$51.29	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $181.97	Professional	TC	$56.23	$79.43	$181.97
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $165.96 / $416.87	Professional		$28.84	$165.96	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $28.84 / $74.13	Professional	26	$5.01	$28.84	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $144.54 / $354.81	Professional	TC	$23.99	$144.54	$354.81
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $74.13 / $107.15	Facility		$13.49	$74.13	$107.15
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $64.57 / $141.25	Professional		$10.96	$64.57	$141.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $302.00 / $446.68	Facility		$263.03	$302.00	$446.68
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 $229.09 / $263.03 / $389.05	Facility	TC	$229.09	$263.03	$389.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $100.00 / $239.88	Professional		$35.48	$100.00	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $14.79 / $35.48	Professional	26	$5.62	$14.79	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $87.10 / $208.93	Professional	TC	$30.20	$87.10	$208.93
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $91.20 / $239.88	Facility		$23.99	$91.20	$239.88
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
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 $190.55 / $190.55 / $208.93	Professional	TC	$190.55	$190.55	$208.93
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $91.20 / $239.88	Facility		$23.99	$91.20	$239.88
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 $316.23 / $316.23 / $316.23	Facility	TC	$316.23	$316.23	$316.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $93.33 / $512.86	Professional		$52.48	$93.33	$512.86
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $26.30 / $87.10	Professional	26	$9.33	$26.30	$87.10
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $85.11 / $436.52	Professional	TC	$47.86	$85.11	$436.52
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 $75.86 / $114.82 / $251.19	Professional		$75.86	$114.82	$251.19
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.38 / $36.31	Professional	26	$10.96	$17.38	$36.31
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $97.72 / $213.80	Professional	TC	$64.57	$97.72	$213.80
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $190.55 / $269.15	Professional		$81.28	$190.55	$269.15
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $512.86	Facility		$151.36	$151.36	$512.86
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 $128.82 / $128.82 / $436.52	Facility	TC	$128.82	$128.82	$436.52
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $363.08 / $512.86	Professional		$38.02	$363.08	$512.86
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $61.66 / $87.10	Professional	26	$5.62	$61.66	$87.10
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $302.00 / $436.52	Professional	TC	$32.36	$302.00	$436.52
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $165.96	Professional		$56.23	$56.23	$165.96
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $25.12	Professional	26	$13.18	$13.18	$25.12
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $141.25	Professional	TC	$41.69	$41.69	$141.25
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $218.78 / $426.58	Professional		$56.23	$218.78	$426.58
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $43.65	Professional	26	$13.18	$13.18	$43.65
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $199.53	Professional	TC	$41.69	$41.69	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $144.54 / $537.03	Professional		$69.18	$144.54	$537.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $56.23 / $95.50	Professional	26	$12.30	$56.23	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $61.66 / $144.54	Professional	TC	$38.90	$61.66	$144.54

Wisconsin rates for HCPCS 88313