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 $12.02 / $12.02 / $43.65	Facility	26	$12.02	$12.02	$43.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $45.71 / $93.33	Professional		$38.02	$45.71	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.88 / $28.18	Professional	26	$10.00	$12.88	$28.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $32.36 / $60.26	Professional	TC	$26.92	$32.36	$60.26
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $61.66 / $144.54	Professional		$41.69	$61.66	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.98 / $39.81	Professional	26	$12.02	$16.98	$39.81
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $44.67 / $104.71	Professional	TC	$30.20	$44.67	$104.71
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $37.15 / $93.33	Professional		$11.22	$37.15	$93.33
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $34.67 / $57.54	Facility	26	$9.55	$34.67	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $109.65 / $131.83	Professional		$51.29	$109.65	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $28.84 / $34.67	Professional	26	$14.45	$28.84	$34.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $83.18 / $95.50	Professional	TC	$36.31	$83.18	$95.50
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $95.50 / $134.90	Professional		$77.62	$95.50	$134.90
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $25.12 / $35.48	Professional	26	$20.42	$25.12	$35.48
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $69.18 / $100.00	Professional	TC	$57.54	$69.18	$100.00
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $79.43 / $79.43	Facility	26	$28.18	$79.43	$79.43
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $74.13 / $275.42	Professional		$43.65	$74.13	$275.42
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $21.88 / $74.13	Professional	26	$12.59	$21.88	$74.13
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $51.29 / $204.17	Professional	TC	$30.90	$51.29	$204.17
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 $39.81 / $66.07 / $114.82	Professional		$39.81	$66.07	$114.82
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.05 / $30.90	Professional	26	$10.96	$19.05	$30.90
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $53.70 / $85.11	Professional	TC	$30.90	$53.70	$85.11
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $109.65 / $162.18	Professional		$54.95	$109.65	$162.18
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $19.05 / $79.43	Facility	26	$2.88	$19.05	$79.43
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $208.93 / $275.42	Professional		$48.98	$208.93	$275.42
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $61.66 / $74.13	Professional	26	$12.88	$61.66	$74.13
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $147.91 / $204.17	Professional	TC	$36.31	$147.91	$204.17
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Professional	26	$14.45	$14.45	$14.45
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	TC	$38.02	$38.02	$38.02
Security Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $81.28 / $158.49	Professional		$61.66	$81.28	$158.49
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $19.50 / $28.84	Professional	26	$16.60	$19.50	$28.84
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $44.67 / $81.28	Professional	TC	$38.02	$44.67	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $91.20 / $204.17	Professional		$45.71	$91.20	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $41.69 / $87.10	Professional	26	$16.98	$41.69	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $69.18 / $147.91	Professional	TC	$32.36	$69.18	$147.91

Wisconsin rates for HCPCS 94727