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 $15.14 / $21.88 / $21.88	Facility	26	$15.14	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $40.74 / $95.50	Professional		$33.88	$40.74	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $51.29	Professional	26	$12.02	$15.14	$51.29
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.12 / $42.66	Professional	TC	$20.89	$25.12	$42.66
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $54.95 / $128.82	Professional		$38.02	$54.95	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $20.42 / $46.77	Professional	26	$14.45	$20.42	$46.77
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $33.88 / $79.43	Professional	TC	$23.44	$33.88	$79.43
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $33.11 / $81.28	Professional		$13.18	$33.11	$81.28
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $41.69 / $69.18	Facility	26	$11.48	$41.69	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $95.50 / $128.82	Professional		$42.66	$95.50	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $34.67 / $46.77	Professional	26	$16.98	$34.67	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $61.66 / $79.43	Professional	TC	$28.18	$61.66	$79.43
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $117.49	Professional		$67.61	$81.28	$117.49
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $29.51 / $41.69	Professional	26	$24.55	$29.51	$41.69
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $52.48 / $74.13	Professional	TC	$42.66	$52.48	$74.13
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.88 / $100.00 / $100.00	Facility	26	$33.88	$100.00	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $67.61 / $346.74	Professional		$38.90	$67.61	$346.74
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $26.30 / $89.13	Professional	26	$15.14	$26.30	$89.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $42.66 / $199.53	Professional	TC	$23.44	$42.66	$199.53
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 $34.67 / $61.66 / $165.96	Professional		$34.67	$61.66	$165.96
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $22.91 / $38.90	Professional	26	$13.18	$22.91	$38.90
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $39.81 / $64.57	Professional	TC	$22.91	$39.81	$64.57
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $100.00 / $138.04	Professional		$46.77	$100.00	$138.04
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $4.57 / $100.00 / $100.00	Facility	26	$4.57	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $190.55 / $346.74	Professional		$45.71	$190.55	$346.74
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $74.13 / $89.13	Professional	26	$16.98	$74.13	$89.13
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $114.82 / $199.53	Professional	TC	$28.84	$114.82	$199.53
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	26	$17.78	$17.78	$17.78
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	TC	$28.84	$28.84	$28.84
Security Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $117.49 / $138.04	Professional		$60.26	$117.49	$138.04
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $28.18 / $45.71	Professional	26	$21.88	$28.18	$45.71
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $37.15 / $61.66	Professional	TC	$31.62	$37.15	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $125.89	Professional		$38.90	$60.26	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $33.11 / $69.18	Professional	26	$15.14	$33.11	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $74.13	Professional	TC	$22.91	$34.67	$74.13

Wisconsin rates for HCPCS 94375