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 / $117.49 / $181.97	Professional		$95.50	$117.49	$181.97
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $31.62 / $52.48	Professional	26	$25.12	$31.62	$52.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $85.11 / $134.90	Professional	TC	$66.07	$85.11	$134.90
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $251.19 / $645.65	Professional		$44.67	$251.19	$645.65
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $79.43 / $199.53	Professional	26	$13.49	$79.43	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $186.21 / $446.68	Professional	TC	$30.90	$186.21	$446.68
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $114.82 / $169.82	Facility	26	$102.33	$114.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $151.36 / $371.54	Professional		$56.23	$151.36	$371.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $40.74 / $97.72	Professional	26	$15.85	$40.74	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $117.49 / $275.42	Professional	TC	$38.02	$117.49	$275.42
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $398.11	Professional		$354.81	$354.81	$398.11
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $100.00	Professional	26	$91.20	$91.20	$100.00
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $263.03 / $295.12	Professional	TC	$263.03	$263.03	$295.12
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $112.20 / $724.44	Professional		$66.07	$112.20	$724.44
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $33.11 / $199.53	Professional	26	$22.39	$33.11	$199.53
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $77.62 / $537.03	Professional	TC	$42.66	$77.62	$537.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $64.57 / $177.83	Professional		$32.36	$64.57	$177.83
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $194.98 / $371.54	Professional		$123.03	$194.98	$371.54
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $50.12 / $102.33	Professional	26	$31.62	$50.12	$102.33
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $144.54 / $275.42	Professional	TC	$91.20	$144.54	$275.42
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $302.00 / $426.58	Professional		$154.88	$302.00	$426.58
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $63.10 / $63.10 / $199.53	Facility	26	$63.10	$63.10	$199.53
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $371.54 / $724.44	Professional		$60.26	$371.54	$724.44
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $109.65 / $199.53	Professional	26	$15.85	$109.65	$199.53
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $263.03 / $537.03	Professional	TC	$44.67	$263.03	$537.03
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $234.42	Professional		$77.62	$77.62	$234.42
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $67.61	Professional	26	$24.55	$24.55	$67.61
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $53.70 / $169.82	Professional	TC	$53.70	$53.70	$169.82
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $275.42 / $660.69	Professional		$77.62	$275.42	$660.69
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $95.50	Professional	26	$24.55	$24.55	$95.50
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $53.70 / $234.42	Professional	TC	$53.70	$53.70	$234.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $112.20 / $257.04	Professional		$66.07	$112.20	$257.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $79.43 / $165.96	Professional	26	$25.12	$79.43	$165.96
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $77.62 / $190.55	Professional	TC	$42.66	$77.62	$190.55

Wisconsin rates for HCPCS 88369