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 $2.00 / $2.00 / $9.33	Facility	26	$2.00	$2.00	$9.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $18.20 / $37.15	Professional		$12.88	$18.20	$37.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.02 / $9.55	Professional	26	$2.00	$3.02	$9.55
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $12.88 / $28.18	Professional	TC	$10.96	$12.88	$28.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $26.92 / $61.66	Professional		$16.60	$26.92	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $5.25 / $13.18	Professional	26	$2.95	$5.25	$13.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $21.38 / $47.86	Professional	TC	$13.18	$21.38	$47.86
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.19 / $7.24 / $11.75	Facility	26	$2.19	$7.24	$11.75
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $38.02 / $52.48	Professional		$23.44	$38.02	$52.48
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $6.61 / $9.12	Professional	26	$3.89	$6.61	$9.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $31.62 / $42.66	Professional	TC	$19.05	$31.62	$42.66
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $30.90 / $45.71	Professional		$25.70	$30.90	$45.71
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.27 / $5.25 / $7.76	Professional	26	$4.27	$5.25	$7.76
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $25.70 / $50.12	Professional	TC	$21.38	$25.70	$50.12
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.89 / $100.00 / $100.00	Facility	26	$5.89	$100.00	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $41.69 / $162.18	Professional		$22.91	$41.69	$162.18
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.68 / $8.91 / $53.70	Professional	26	$4.68	$8.91	$53.70
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $33.88 / $128.82	Professional	TC	$18.20	$33.88	$128.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $23.99 / $58.88	Professional		$12.88	$23.99	$58.88
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.34 / $4.68 / $12.59	Professional	26	$2.34	$4.68	$12.59
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.22 / $20.89 / $46.77	Professional	TC	$11.22	$20.89	$46.77
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $38.90 / $57.54	Professional		$18.20	$38.90	$57.54
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.87 / $100.00 / $100.00	Facility	26	$0.87	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $107.15 / $162.18	Professional		$23.99	$107.15	$162.18
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.07 / $26.92 / $36.31	Professional	26	$4.07	$26.92	$36.31
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $85.11 / $128.82	Professional	TC	$19.50	$85.11	$128.82
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.55 / $3.55 / $3.55	Professional	26	$3.55	$3.55	$3.55
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Professional	TC	$14.45	$14.45	$14.45
Security Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $51.29	Professional		$30.90	$47.86	$51.29
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.80 / $8.51 / $10.72	Professional	26	$3.80	$8.51	$10.72
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.20 / $38.02	Professional	TC	$19.95	$30.20	$38.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $32.36 / $67.61	Professional		$19.50	$32.36	$67.61
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.98 / $7.08 / $13.80	Professional	26	$3.98	$7.08	$13.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $26.30 / $53.70	Professional	TC	$15.49	$26.30	$53.70

Wisconsin rates for HCPCS 94200