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 Typical Low / Median / Typical High $380.19 / $870.96 / $1,513.56	Facility		$380.19	$870.96	$1,513.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $72.44 / $102.33 / $741.31	Facility	26	$72.44	$102.33	$741.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $208.93 / $616.60	Professional		$141.25	$208.93	$616.60
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $66.07 / $169.82	Professional	26	$38.02	$66.07	$169.82
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	52	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $131.83 / $229.09	Professional	TC	$100.00	$131.83	$229.09
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $229.09 / $549.54	Professional		$162.18	$229.09	$549.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $61.66 / $158.49	Professional	26	$41.69	$61.66	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $169.82 / $398.11	Professional	TC	$120.23	$169.82	$398.11
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $107.15 / $204.17	Facility		$37.15	$107.15	$204.17
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $100.00 / $177.83	Professional		$46.77	$100.00	$177.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $436.52 / $691.83	Facility		$371.54	$436.52	$691.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $104.71 / $120.23 / $194.98	Facility	26	$104.71	$120.23	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $354.81 / $660.69	Professional		$199.53	$354.81	$660.69
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $97.72 / $190.55	Professional	26	$54.95	$97.72	$190.55
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $234.42 / $467.74	Professional	TC	$138.04	$234.42	$467.74
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $181.97 / $407.38	Facility		$134.90	$181.97	$407.38
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $269.15 / $389.05	Professional		$229.09	$269.15	$389.05
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $81.28 / $117.49	Professional	26	$69.18	$81.28	$117.49
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $186.21 / $269.15	Professional	TC	$162.18	$186.21	$269.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $269.15 / $501.19	Facility		$141.25	$269.15	$501.19
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $354.81 / $1,023.29	Professional		$199.53	$354.81	$1,023.29
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $100.00 / $263.03	Professional	26	$53.70	$100.00	$263.03
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $251.19 / $776.25	Professional	TC	$144.54	$251.19	$776.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $363.08	Facility		$245.47	$245.47	$363.08
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $204.17 / $407.38	Professional		$95.50	$204.17	$407.38
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $67.61 / $117.49	Professional	26	$39.81	$67.61	$117.49
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $165.96 / $302.00	Professional	TC	$91.20	$165.96	$302.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $331.13 / $467.74	Professional		$181.97	$331.13	$467.74
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $1,380.38	Facility		$295.12	$295.12	$1,380.38
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $257.04	Facility	26	$91.20	$91.20	$257.04
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $1,023.29 / $2,344.23	Professional		$165.96	$1,023.29	$2,344.23
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $204.17 / $269.15	Professional	26	$50.12	$204.17	$269.15
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $776.25 / $2,290.87	Professional	TC	$114.82	$776.25	$2,290.87
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	26	$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
Security Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $426.58 / $467.74	Facility		$338.84	$426.58	$467.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $691.83 / $2,187.76	Professional		$338.84	$691.83	$2,187.76
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $131.83 / $162.18	Professional	26	$63.10	$131.83	$162.18
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $309.03 / $2,238.72	Professional	TC	$181.97	$309.03	$2,238.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $758.58	Facility		$575.44	$575.44	$758.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $316.23 / $575.44	Professional		$177.83	$316.23	$575.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $112.20 / $194.98	Professional	26	$64.57	$112.20	$194.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $223.87 / $467.74	Professional	TC	$128.82	$223.87	$467.74

Wisconsin rates for HCPCS 95800