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 $79.43 / $100.00 / $354.81	Professional		$79.43	$100.00	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $295.12 / $1,230.27	Professional	26	$57.54	$295.12	$1,230.27
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.90 / $104.71	Professional	TC	$28.18	$38.90	$104.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $223.87 / $575.44	Professional		$39.81	$223.87	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $147.91 / $389.05	Professional	26	$26.92	$147.91	$389.05
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $83.18 / $194.98	Professional	TC	$13.49	$83.18	$194.98
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $70.79 / $128.82	Facility		$46.77	$70.79	$128.82
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $63.10 / $134.90	Professional		$37.15	$63.10	$134.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $363.08 / $537.03	Facility		$323.59	$363.08	$537.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $190.55 / $213.80 / $316.23	Facility	26	$190.55	$213.80	$316.23
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $131.83 / $151.36 / $223.87	Facility	TC	$131.83	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $125.89 / $309.03	Professional		$46.77	$125.89	$309.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $74.13 / $181.97	Professional	26	$28.84	$74.13	$181.97
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $50.12 / $120.23	Professional	TC	$17.38	$50.12	$120.23
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $117.49 / $295.12	Facility		$75.86	$117.49	$295.12
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $302.00	Professional		$275.42	$275.42	$302.00
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $181.97	Professional	26	$165.96	$165.96	$181.97
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $109.65 / $123.03	Professional	TC	$109.65	$109.65	$123.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $128.82 / $295.12	Facility		$75.86	$128.82	$295.12
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $134.90 / $645.65	Professional		$69.18	$134.90	$645.65
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $123.03 / $380.19	Professional	26	$46.77	$123.03	$380.19
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $35.48 / $346.74	Professional	TC	$24.55	$35.48	$346.74
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $64.57 / $107.15	Professional		$32.36	$64.57	$107.15
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $316.23	Professional		$95.50	$141.25	$316.23
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $91.20 / $190.55	Professional	26	$57.54	$91.20	$190.55
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $56.23 / $125.89	Professional	TC	$37.15	$56.23	$125.89
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $229.09 / $338.84	Professional		$169.82	$229.09	$338.84
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $645.65	Facility		$190.55	$190.55	$645.65
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $380.19	Facility	26	$114.82	$114.82	$380.19
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $257.04	Facility	TC	$100.00	$100.00	$257.04
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $478.63 / $645.65	Professional		$46.77	$478.63	$645.65
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $316.23 / $380.19	Professional	26	$28.84	$316.23	$380.19
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $165.96 / $346.74	Professional	TC	$18.62	$165.96	$346.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $128.82	Professional	26	$100.00	$100.00	$128.82
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $23.44 / $83.18	Professional	TC	$23.44	$23.44	$83.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $524.81	Professional		$234.42	$234.42	$524.81
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $229.09	Professional	26	$100.00	$100.00	$229.09
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $23.44 / $112.20	Professional	TC	$23.44	$23.44	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $97.72 / $354.81	Professional		$61.66	$97.72	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $107.15 / $316.23	Professional	26	$63.10	$107.15	$316.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $81.28	Professional	TC	$20.89	$33.11	$81.28

Wisconsin rates for HCPCS 88331