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 $12.88 / $12.88 / $45.71	Facility	26	$12.88	$12.88	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $40.74 / $77.62	Professional		$34.67	$40.74	$77.62
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.02 / $30.20	Professional	26	$10.96	$12.02	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.84 / $43.65	Professional	TC	$23.99	$28.84	$43.65
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $56.23 / $134.90	Professional		$38.90	$56.23	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $17.38 / $39.81	Professional	26	$12.30	$17.38	$39.81
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.90 / $91.20	Professional	TC	$26.92	$38.90	$91.20
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $35.48 / $58.88	Facility	26	$9.77	$35.48	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $109.65 / $131.83	Professional		$50.12	$109.65	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $30.20 / $35.48	Professional	26	$14.45	$30.20	$35.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $79.43 / $95.50	Professional	TC	$35.48	$79.43	$95.50
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $93.33 / $131.83	Professional		$77.62	$93.33	$131.83
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $25.70 / $37.15	Professional	26	$21.38	$25.70	$37.15
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $67.61 / $95.50	Professional	TC	$56.23	$67.61	$95.50
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $79.43 / $79.43	Facility	26	$28.84	$79.43	$79.43
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $69.18 / $251.19	Professional		$41.69	$69.18	$251.19
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $21.88 / $75.86	Professional	26	$12.88	$21.88	$75.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $47.86 / $173.78	Professional	TC	$28.18	$47.86	$173.78
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 $38.90 / $66.07 / $107.15	Professional		$38.90	$66.07	$107.15
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $19.95 / $31.62	Professional	26	$11.22	$19.95	$31.62
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $52.48 / $75.86	Professional	TC	$29.51	$52.48	$75.86
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $104.71 / $158.49	Professional		$53.70	$104.71	$158.49
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $19.50 / $79.43	Facility	26	$2.95	$19.50	$79.43
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $194.98 / $251.19	Professional		$47.86	$194.98	$251.19
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $63.10 / $75.86	Professional	26	$13.18	$63.10	$75.86
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $134.90 / $173.78	Professional	TC	$33.88	$134.90	$173.78
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Professional	26	$15.14	$15.14	$15.14
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	TC	$32.36	$32.36	$32.36
Security Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $154.88	Professional		$53.70	$75.86	$154.88
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $19.50 / $30.20	Professional	26	$16.60	$19.50	$30.20
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $40.74 / $79.43	Professional	TC	$34.67	$40.74	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $61.66 / $123.03	Professional		$41.69	$61.66	$123.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $19.05 / $38.90	Professional	26	$12.30	$19.05	$38.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $42.66 / $85.11	Professional	TC	$28.18	$42.66	$85.11

Wisconsin rates for HCPCS 94728