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 $60.26 / $69.18 / $102.33	Facility	26	$60.26	$69.18	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $1,230.27	Professional		$295.12	$398.11	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $81.28 / $234.42	Professional	26	$52.48	$81.28	$234.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $323.59 / $588.84	Professional	TC	$239.88	$323.59	$588.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $588.84 / $1,348.96	Professional		$354.81	$588.84	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $87.10 / $199.53	Professional	26	$57.54	$87.10	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $501.19 / $1,148.15	Professional	TC	$295.12	$501.19	$1,148.15
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $371.54 / $660.69	Professional		$66.07	$371.54	$660.69
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $147.91 / $173.78 / $275.42	Facility	26	$147.91	$173.78	$275.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $1,023.29 / $1,348.96	Professional		$489.78	$1,023.29	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $144.54 / $199.53	Professional	26	$72.44	$144.54	$199.53
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $870.96 / $1,148.15	Professional	TC	$416.87	$870.96	$1,148.15
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $812.83 / $1,096.48	Professional		$691.83	$812.83	$1,096.48
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $117.49 / $154.88	Professional	26	$100.00	$117.49	$154.88
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $691.83 / $933.25	Professional	TC	$588.84	$691.83	$933.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $630.96 / $2,454.71	Professional		$263.03	$630.96	$2,454.71
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $112.20 / $354.81	Professional	26	$58.88	$112.20	$354.81
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $524.81 / $2,089.30	Professional	TC	$194.98	$524.81	$2,089.30
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $562.34 / $977.24	Professional		$288.40	$562.34	$977.24
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $85.11 / $144.54	Professional	26	$57.54	$85.11	$144.54
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $457.09 / $851.14	Professional	TC	$338.84	$457.09	$851.14
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $912.01 / $1,348.96	Professional		$457.09	$912.01	$1,348.96
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $128.82 / $354.81 / $354.81	Facility	26	$128.82	$354.81	$354.81
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,778.28 / $2,454.71	Professional		$457.09	$1,778.28	$2,454.71
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $281.84 / $354.81	Professional	26	$67.61	$281.84	$354.81
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $1,479.11 / $2,089.30	Professional	TC	$389.05	$1,479.11	$2,089.30
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional	TC	$398.11	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,258.93 / $2,041.74	Professional		$676.08	$1,258.93	$2,041.74
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $144.54 / $181.97	Professional	26	$87.10	$144.54	$181.97
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $741.31 / $1,096.48	Professional	TC	$501.19	$741.31	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $758.58 / $1,584.89	Professional		$95.50	$758.58	$1,584.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $154.88 / $269.15	Professional	26	$79.43	$154.88	$269.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $645.65 / $1,548.82	Professional	TC	$95.50	$645.65	$1,548.82

Wisconsin rates for HCPCS 95816