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. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $147.91 / $181.97	Facility		$39.81	$147.91	$181.97
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $22.39 / $64.57	Facility	26	$19.05	$22.39	$64.57
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $14.13 / $295.12 / $457.09	Facility	TC	$14.13	$295.12	$457.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $77.62 / $165.96	Professional		$33.88	$77.62	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $33.11 / $93.33	Professional	26	$19.05	$33.11	$93.33
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $234.42 / $338.84	Professional	50	$95.50	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $30.20 / $38.02 / $87.10	Professional	52	$30.20	$38.02	$87.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $32.36 / $97.72	Professional	TC	$14.13	$32.36	$97.72
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $61.66 / $144.54	Professional		$38.02	$61.66	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $30.20 / $63.10	Professional	26	$20.42	$30.20	$63.10
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $57.54 / $91.20 / $218.78	Professional	50	$57.54	$91.20	$218.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $30.90 / $93.33	Professional	TC	$17.38	$30.90	$93.33
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $33.11 / $60.26	Facility		$22.39	$33.11	$60.26
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $25.70 / $45.71	Professional		$19.50	$25.70	$45.71
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $186.21	Facility		$100.00	$117.49	$186.21
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $64.57 / $102.33	Facility	26	$54.95	$64.57	$102.33
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $44.67 / $52.48 / $83.18	Facility	TC	$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $77.62 / $141.25	Professional		$56.23	$77.62	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $42.66 / $72.44	Professional	26	$24.55	$42.66	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $37.15 / $63.10	Professional	TC	$26.30	$37.15	$63.10
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $52.48 / $117.49	Facility		$32.36	$52.48	$117.49
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $141.25	Professional		$67.61	$81.28	$141.25
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $45.71 / $57.54	Professional	26	$38.02	$45.71	$57.54
DeanCare Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $67.61 / $81.28 / $141.25	Professional	52	$67.61	$81.28	$141.25
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $35.48 / $87.10	Professional	TC	$29.51	$35.48	$87.10
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $234.42	Facility		$32.36	$58.88	$234.42
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $70.79 / $141.25 / $245.47	Facility	TC	$70.79	$141.25	$245.47
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $100.00 / $398.11	Professional		$45.71	$100.00	$398.11
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $38.90 / $131.83	Professional	26	$21.88	$38.90	$131.83
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $58.88 / $281.84	Professional	TC	$23.99	$58.88	$281.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $162.18	Facility		$58.88	$58.88	$162.18
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $95.50 / $186.21	Professional		$45.71	$95.50	$186.21
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $47.86 / $56.23	Professional	26	$29.51	$47.86	$56.23
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $53.70 / $125.89	Professional	TC	$24.55	$53.70	$125.89
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $87.10 / $128.82	Professional		$48.98	$87.10	$128.82
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $234.42 / $234.42	Facility		$85.11	$234.42	$234.42
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $131.83 / $131.83	Facility	26	$100.00	$131.83	$131.83
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $141.25 / $141.25	Facility	TC	$100.00	$141.25	$141.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $263.03 / $416.87	Professional		$70.79	$263.03	$416.87
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $117.49 / $131.83	Professional	26	$30.90	$117.49	$131.83
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $173.78 / $295.12	Professional	TC	$32.36	$173.78	$295.12
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	TC	$19.05	$19.05	$19.05
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $131.83 / $147.91	Professional		$70.79	$131.83	$147.91
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $109.65	Professional	26	$30.90	$41.69	$109.65
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $66.07 / $165.96	Professional	TC	$24.55	$66.07	$165.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $81.28 / $467.74	Facility		$24.55	$81.28	$467.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $81.28 / $144.54	Professional		$45.71	$81.28	$144.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $63.10	Professional	26	$21.88	$33.11	$63.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $43.65 / $83.18	Professional	TC	$22.39	$43.65	$83.18

Wisconsin rates for HCPCS 92250