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 $100.00 / $138.04 / $831.76	Professional		$100.00	$138.04	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $66.07 / $309.03	Professional	26	$36.31	$66.07	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $81.28 / $275.42	Professional	TC	$63.10	$81.28	$275.42
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $316.23 / $851.14	Professional		$60.26	$316.23	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $131.83 / $309.03	Professional	26	$22.39	$131.83	$309.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $234.42 / $537.03	Professional	TC	$39.81	$234.42	$537.03
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $75.86 / $147.91	Professional		$39.81	$75.86	$147.91
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $131.83 / $151.36 / $223.87	Facility	26	$131.83	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $144.54 / $354.81	Professional		$57.54	$144.54	$354.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $54.95 / $131.83	Professional	26	$20.42	$54.95	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $100.00 / $229.09	Professional	TC	$37.15	$100.00	$229.09
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $346.74	Professional		$316.23	$316.23	$346.74
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $128.82	Professional	26	$114.82	$114.82	$128.82
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $199.53 / $223.87	Professional	TC	$199.53	$199.53	$223.87
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $169.82 / $891.25	Professional		$91.20	$169.82	$891.25
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $74.13 / $338.84	Professional	26	$35.48	$74.13	$338.84
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $107.15 / $549.54	Professional	TC	$60.26	$107.15	$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 $107.15 / $186.21 / $363.08	Professional		$107.15	$186.21	$363.08
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $69.18 / $134.90	Professional	26	$39.81	$69.18	$134.90
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $117.49 / $229.09	Professional	TC	$69.18	$117.49	$229.09
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $288.40 / $398.11	Professional		$199.53	$288.40	$398.11
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $97.72 / $97.72 / $269.15	Facility	26	$97.72	$97.72	$269.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $707.95 / $912.01	Professional		$58.88	$707.95	$912.01
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $275.42 / $338.84	Professional	26	$21.38	$275.42	$338.84
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $426.58 / $562.34	Professional	TC	$38.02	$426.58	$562.34
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $158.49	Professional	TC	$69.18	$69.18	$158.49
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $436.52 / $758.58	Professional		$245.47	$436.52	$758.58
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $213.80	Professional	26	$91.20	$91.20	$213.80
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $323.59	Professional	TC	$69.18	$69.18	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $380.19	Professional		$83.18	$125.89	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $100.00 / $295.12	Professional	26	$45.71	$100.00	$295.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $89.13 / $288.40	Professional	TC	$51.29	$89.13	$288.40

Wisconsin rates for HCPCS 88361