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 26 Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $30.90 / $50.12	Professional		$23.99	$30.90	$50.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $33.88	Professional	26	$16.98	$23.99	$33.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $3.98 / $28.84	Professional	TC	$2.00	$3.98	$28.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $56.23 / $128.82	Professional		$32.36	$56.23	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $47.86 / $114.82	Professional	26	$27.54	$47.86	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.31 / $7.76 / $20.89	Professional	TC	$3.31	$7.76	$20.89
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $77.62 / $107.15	Facility	26	$66.07	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $66.07 / $85.11	Professional		$29.51	$66.07	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $57.54 / $72.44	Professional	26	$25.12	$57.54	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.89 / $8.71 / $12.02	Professional	TC	$3.89	$8.71	$12.02
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $60.26 / $79.43	Professional		$40.74	$60.26	$79.43
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $52.48 / $70.79	Professional	26	$35.48	$52.48	$70.79
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.37 / $7.94 / $10.72	Professional	TC	$5.37	$7.94	$10.72
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $112.20 / $112.20	Facility	26	$57.54	$112.20	$112.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $46.77 / $302.00	Professional		$27.54	$46.77	$302.00
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $32.36 / $154.88	Professional	26	$18.20	$32.36	$154.88
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.24 / $6.76 / $213.80	Professional	TC	$3.24	$6.76	$213.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $41.69 / $83.18	Professional		$21.38	$41.69	$83.18
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $33.88 / $64.57	Professional	26	$18.62	$33.88	$64.57
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.82 / $5.62 / $36.31	Professional	TC	$2.82	$5.62	$36.31
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $66.07 / $186.21	Professional		$31.62	$66.07	$186.21
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $154.88 / $154.88	Facility	26	$100.00	$154.88	$154.88
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $199.53 / $316.23	Professional		$28.84	$199.53	$316.23
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $125.89 / $154.88	Professional	26	$20.89	$125.89	$154.88
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $131.83 / $218.78	Professional	TC	$3.72	$131.83	$218.78
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.13 / $5.13 / $5.13	Professional	TC	$5.13	$5.13	$5.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $147.91 / $147.91	Professional		$69.18	$147.91	$147.91
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $56.23 / $67.61	Professional	26	$50.12	$56.23	$67.61
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $6.46 / $9.33	Professional	TC	$5.25	$6.46	$9.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $60.26 / $114.82	Professional		$27.54	$60.26	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $28.18 / $79.43	Professional	26	$17.38	$28.18	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.55 / $6.17 / $34.67	Professional	TC	$3.55	$6.17	$34.67

Wisconsin rates for HCPCS 92542