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. Small sample — interpret with caution. 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 $91.20 / $91.20 / $316.23	Facility	26	$91.20	$91.20	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $446.68 / $1,513.56	Professional		$331.13	$446.68	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $128.82 / $407.38	Professional	26	$79.43	$128.82	$407.38
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $354.81 / $630.96	Professional	TC	$263.03	$354.81	$630.96
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $691.83 / $1,548.82	Professional		$398.11	$691.83	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $138.04 / $302.00	Professional	26	$85.11	$138.04	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $524.81 / $1,230.27	Professional	TC	$309.03	$524.81	$1,230.27
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $223.87 / $263.03 / $416.87	Facility	26	$223.87	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $1,148.15 / $1,548.82	Professional		$562.34	$1,148.15	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $218.78 / $309.03	Professional	26	$109.65	$218.78	$309.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $933.25 / $1,230.27	Professional	TC	$446.68	$933.25	$1,230.27
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $933.25 / $1,230.27	Professional		$794.33	$933.25	$1,230.27
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $177.83 / $234.42	Professional	26	$151.36	$177.83	$234.42
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $741.31 / $1,000.00	Professional	TC	$645.65	$741.31	$1,000.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $741.31 / $2,754.23	Professional		$363.08	$741.31	$2,754.23
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $169.82 / $776.25	Professional	26	$93.33	$169.82	$776.25
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $588.84 / $2,187.76	Professional	TC	$251.19	$588.84	$2,187.76
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $660.69 / $1,122.02	Professional		$331.13	$660.69	$1,122.02
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $134.90 / $218.78	Professional	26	$87.10	$134.90	$218.78
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $512.86 / $933.25	Professional	TC	$354.81	$512.86	$933.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $1,071.52 / $1,584.89	Professional		$537.03	$1,071.52	$1,584.89
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $194.98 / $537.03 / $537.03	Facility	26	$194.98	$537.03	$537.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $1,995.26 / $2,754.23	Professional		$524.81	$1,995.26	$2,754.23
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $436.52 / $776.25	Professional	26	$104.71	$436.52	$776.25
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $1,548.82 / $2,187.76	Professional	TC	$426.58	$1,548.82	$2,187.76
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional	TC	$426.58	$426.58	$426.58
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,584.89 / $2,290.87	Professional		$707.95	$1,584.89	$2,290.87
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $218.78 / $275.42	Professional	26	$107.15	$218.78	$275.42
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $776.25 / $1,288.25	Professional	TC	$524.81	$776.25	$1,288.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $831.76 / $2,041.74	Professional		$95.50	$831.76	$2,041.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $239.88 / $407.38	Professional	26	$100.00	$239.88	$407.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $537.03 / $1,148.15	Professional	TC	$239.88	$537.03	$1,148.15

Wisconsin rates for HCPCS 95813