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 $117.49 / $141.25 / $229.09	Professional		$117.49	$141.25	$229.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $47.86 / $87.10	Professional	26	$33.11	$47.86	$87.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $97.72 / $162.18	Professional	TC	$77.62	$97.72	$162.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $302.00 / $741.31	Professional		$89.13	$302.00	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $117.49 / $251.19	Professional	26	$24.55	$117.49	$251.19
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $208.93 / $501.19	Professional	TC	$64.57	$208.93	$501.19
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $128.82 / $144.54 / $213.80	Facility	26	$128.82	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $194.98 / $426.58	Professional		$69.18	$194.98	$426.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $56.23 / $134.90	Professional	26	$19.95	$56.23	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $144.54 / $302.00	Professional	TC	$50.12	$144.54	$302.00
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $125.89	Professional	26	$112.20	$112.20	$125.89
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $323.59	Professional	TC	$295.12	$295.12	$323.59
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $208.93 / $1,071.52	Professional		$102.33	$208.93	$1,071.52
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $61.66 / $389.05	Professional	26	$30.90	$61.66	$389.05
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $138.04 / $794.33	Professional	TC	$66.07	$138.04	$794.33
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 $138.04 / $234.42 / $436.52	Professional		$138.04	$234.42	$436.52
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $66.07 / $128.82	Professional	26	$38.90	$66.07	$128.82
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $169.82 / $309.03	Professional	TC	$100.00	$169.82	$309.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $346.74 / $478.63	Professional		$234.42	$346.74	$478.63
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $269.15	Facility	26	$85.11	$85.11	$269.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $1,000.00 / $1,071.52	Professional		$69.18	$1,000.00	$1,071.52
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $316.23 / $389.05	Professional	26	$20.42	$316.23	$389.05
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $691.83 / $794.33	Professional	TC	$50.12	$691.83	$794.33
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $281.84	Professional		$85.11	$85.11	$281.84
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $85.11	Professional	26	$31.62	$31.62	$85.11
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $194.98	Professional	TC	$54.95	$54.95	$194.98
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $281.84 / $794.33	Professional		$85.11	$281.84	$794.33
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $147.91	Professional	26	$31.62	$31.62	$147.91
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $363.08	Professional	TC	$54.95	$54.95	$363.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $131.83 / $407.38	Professional		$83.18	$131.83	$407.38
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $93.33 / $309.03	Professional	26	$40.74	$93.33	$309.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $95.50 / $234.42	Professional	TC	$56.23	$95.50	$234.42

Wisconsin rates for HCPCS 88368