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 $95.50 / $123.03 / $218.78	Professional		$95.50	$123.03	$218.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.02 / $53.70	Professional	26	$26.92	$38.02	$53.70
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $79.43 / $165.96	Professional	TC	$67.61	$79.43	$165.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $316.23 / $776.25	Professional		$104.71	$316.23	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $104.71 / $213.80	Professional	26	$23.99	$104.71	$213.80
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $218.78 / $537.03	Professional	TC	$81.28	$218.78	$537.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $114.82 / $169.82	Facility	26	$100.00	$114.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $151.36 / $363.08	Professional		$51.29	$151.36	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $44.67 / $107.15	Professional	26	$15.85	$44.67	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $109.65 / $257.04	Professional	TC	$35.48	$109.65	$257.04
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $331.13	Professional		$295.12	$295.12	$331.13
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $97.72	Professional	26	$87.10	$87.10	$97.72
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $229.09	Professional	TC	$208.93	$208.93	$229.09
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $208.93 / $1,202.26	Professional		$89.13	$208.93	$1,202.26
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $58.88 / $363.08	Professional	26	$25.70	$58.88	$363.08
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $162.18 / $912.01	Professional	TC	$60.26	$162.18	$912.01
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 $102.33 / $173.78 / $346.74	Professional		$102.33	$173.78	$346.74
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $52.48 / $102.33	Professional	26	$30.20	$52.48	$102.33
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $120.23 / $263.03	Professional	TC	$70.79	$120.23	$263.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $263.03 / $363.08	Professional		$181.97	$263.03	$363.08
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $257.04	Facility	26	$69.18	$69.18	$257.04
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $1,148.15 / $1,202.26	Professional		$54.95	$1,148.15	$1,202.26
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $302.00 / $363.08	Professional	26	$16.60	$302.00	$363.08
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $851.14 / $912.01	Professional	TC	$38.90	$851.14	$912.01
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $302.00	Professional		$234.42	$234.42	$302.00
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $69.18	Professional	26	$26.92	$26.92	$69.18
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $51.29 / $162.18	Professional	TC	$51.29	$51.29	$162.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $676.08	Professional		$302.00	$302.00	$676.08
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $125.89	Professional	26	$26.92	$26.92	$125.89
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $51.29 / $239.88	Professional	TC	$51.29	$51.29	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $125.89 / $389.05	Professional		$70.79	$125.89	$389.05
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $36.31 / $125.89	Professional	26	$21.88	$36.31	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $83.18 / $257.04	Professional	TC	$48.98	$83.18	$257.04

Wisconsin rates for HCPCS 88367