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 $89.13 / $229.09 / $776.25	Professional		$89.13	$229.09	$776.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $83.18 / $363.08	Professional	26	$31.62	$83.18	$363.08
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $109.65 / $295.12	Professional	TC	$54.95	$109.65	$295.12
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $234.42 / $630.96	Professional		$44.67	$234.42	$630.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $100.00 / $218.78	Professional	26	$16.22	$100.00	$218.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $158.49 / $407.38	Professional	TC	$29.51	$158.49	$407.38
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $91.20 / $141.25	Facility		$39.81	$91.20	$141.25
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $75.86 / $158.49	Professional		$32.36	$75.86	$158.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $389.05 / $562.34	Facility		$338.84	$389.05	$562.34
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $120.23 / $177.83	Facility	26	$107.15	$120.23	$177.83
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $234.42 / $263.03 / $389.05	Facility	TC	$234.42	$263.03	$389.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $141.25 / $302.00	Professional		$50.12	$141.25	$302.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $42.66 / $102.33	Professional	26	$16.60	$42.66	$102.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $91.20 / $213.80	Professional	TC	$32.36	$91.20	$213.80
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $125.89 / $323.59	Facility		$74.13	$125.89	$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 $93.33 / $93.33 / $102.33	Professional	26	$93.33	$93.33	$102.33
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $213.80 / $234.42	Professional	TC	$213.80	$213.80	$234.42
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $141.25 / $323.59	Facility		$74.13	$141.25	$323.59
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	TC	$354.81	$354.81	$354.81
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $165.96 / $660.69	Professional		$75.86	$165.96	$660.69
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $109.65 / $275.42	Professional	26	$35.48	$109.65	$275.42
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $120.23 / $426.58	Professional	TC	$51.29	$120.23	$426.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $61.66 / $85.11	Professional		$32.36	$61.66	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $158.49 / $309.03	Professional		$104.71	$158.49	$309.03
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $51.29 / $107.15	Professional	26	$32.36	$51.29	$107.15
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $109.65 / $199.53	Professional	TC	$72.44	$109.65	$199.53
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $263.03 / $380.19	Professional		$97.72	$263.03	$380.19
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $645.65	Facility		$208.93	$208.93	$645.65
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $213.80	Facility	26	$100.00	$100.00	$213.80
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $144.54 / $144.54 / $436.52	Facility	TC	$144.54	$144.54	$436.52
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $512.86 / $660.69	Professional		$52.48	$512.86	$660.69
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $204.17 / $275.42	Professional	26	$17.38	$204.17	$275.42
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $331.13 / $426.58	Professional	TC	$33.88	$331.13	$426.58
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $208.93	Professional		$91.20	$91.20	$208.93
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $72.44	Professional	26	$34.67	$34.67	$72.44
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $52.48 / $134.90	Professional	TC	$52.48	$52.48	$134.90
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $302.00 / $562.34	Professional		$91.20	$302.00	$562.34
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $128.82	Professional	26	$34.67	$34.67	$128.82
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $52.48 / $239.88	Professional	TC	$52.48	$52.48	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $251.19 / $676.08	Professional		$85.11	$251.19	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $125.89 / $269.15	Professional	26	$38.90	$125.89	$269.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $95.50 / $380.19	Professional	TC	$53.70	$95.50	$380.19

Wisconsin rates for HCPCS 88342