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 $138.04 / $194.98 / $426.58	Professional		$138.04	$194.98	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $30.90 / $165.96	Professional	26	$19.50	$30.90	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $162.18 / $257.04	Professional	TC	$107.15	$162.18	$257.04
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $338.84 / $1,000.00	Professional		$64.57	$338.84	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $81.28 / $158.49	Professional	26	$20.42	$81.28	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $302.00 / $870.96	Professional	TC	$44.67	$302.00	$870.96
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $158.49 / $346.74	Professional		$21.38	$158.49	$346.74
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $79.43 / $117.49	Facility	26	$70.79	$79.43	$117.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $245.47 / $575.44	Professional		$89.13	$245.47	$575.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $30.90 / $75.86	Professional	26	$11.22	$30.90	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $213.80 / $524.81	Professional	TC	$74.13	$213.80	$524.81
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $588.84	Professional		$524.81	$524.81	$588.84
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $69.18	Professional	26	$61.66	$61.66	$69.18
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $467.74 / $512.86	Professional	TC	$467.74	$467.74	$512.86
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 $131.83 / $190.55 / $1,348.96	Professional		$131.83	$190.55	$1,348.96
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $50.12 / $316.23	Professional	26	$18.62	$50.12	$316.23
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $154.88 / $1,202.26	Professional	TC	$102.33	$154.88	$1,202.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $64.57 / $89.13	Professional		$32.36	$64.57	$89.13
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $269.15 / $616.60	Professional		$165.96	$269.15	$616.60
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $36.31 / $72.44	Professional	26	$21.38	$36.31	$72.44
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $239.88 / $537.03	Professional	TC	$128.82	$239.88	$537.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $446.68 / $616.60	Professional		$295.12	$446.68	$616.60
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $239.88	Facility	26	$91.20	$91.20	$239.88
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $933.25 / $1,348.96	Professional		$89.13	$933.25	$1,348.96
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $275.42 / $316.23	Professional	26	$12.02	$275.42	$316.23
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $741.31 / $1,202.26	Professional	TC	$79.43	$741.31	$1,202.26
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $426.58	Professional		$89.13	$89.13	$426.58
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $50.12	Professional	26	$19.50	$19.50	$50.12
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $380.19	Professional	TC	$69.18	$69.18	$380.19
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $380.19 / $1,023.29	Professional		$89.13	$380.19	$1,023.29
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $91.20	Professional	26	$19.50	$19.50	$91.20
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $331.13	Professional	TC	$69.18	$69.18	$331.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $173.78 / $501.19	Professional		$109.65	$173.78	$501.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $72.44 / $109.65	Professional	26	$24.55	$72.44	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $147.91 / $380.19	Professional	TC	$93.33	$147.91	$380.19

Wisconsin rates for HCPCS 88381