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 $85.11 / $85.11 / $295.12	Facility	26	$85.11	$85.11	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $169.82 / $389.05	Professional		$134.90	$169.82	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $83.18 / $199.53	Professional	26	$66.07	$83.18	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $138.04	Professional	TC	$64.57	$83.18	$138.04
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $251.19 / $575.44	Professional		$162.18	$251.19	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $131.83 / $288.40	Professional	26	$81.28	$131.83	$288.40
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $123.03 / $288.40	Professional	TC	$81.28	$123.03	$288.40
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $102.33 / $194.98	Professional		$83.18	$102.33	$194.98
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $213.80 / $245.47 / $398.11	Facility	26	$213.80	$245.47	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $416.87 / $562.34	Professional		$199.53	$416.87	$562.34
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $208.93 / $288.40	Professional	26	$102.33	$208.93	$288.40
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $208.93 / $281.84	Professional	TC	$100.00	$208.93	$281.84
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $323.59 / $436.52	Professional		$275.42	$323.59	$436.52
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $165.96 / $223.87	Professional	26	$144.54	$165.96	$223.87
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $158.49 / $213.80	Professional	TC	$134.90	$158.49	$213.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $316.23 / $1,047.13	Professional		$144.54	$316.23	$1,047.13
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $165.96 / $512.86	Professional	26	$85.11	$165.96	$512.86
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $158.49 / $549.54	Professional	TC	$45.71	$158.49	$549.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $239.88 / $416.87	Professional		$114.82	$239.88	$416.87
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $123.03 / $208.93	Professional	26	$81.28	$123.03	$208.93
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $114.82 / $213.80	Professional	TC	$75.86	$114.82	$213.80
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $380.19 / $537.03	Professional		$208.93	$380.19	$537.03
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $186.21 / $512.86 / $512.86	Facility	26	$186.21	$512.86	$512.86
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $831.76 / $1,047.13	Professional		$186.21	$831.76	$1,047.13
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $407.38 / $512.86	Professional	26	$97.72	$407.38	$512.86
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $426.58 / $549.54	Professional	TC	$93.33	$426.58	$549.54
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	TC	$104.71	$104.71	$104.71
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $537.03 / $851.14	Professional		$245.47	$537.03	$851.14
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $208.93 / $263.03	Professional	26	$125.89	$208.93	$263.03
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $223.87 / $281.84	Professional	TC	$128.82	$223.87	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $275.42 / $575.44	Professional		$154.88	$275.42	$575.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $229.09 / $389.05	Professional	26	$87.10	$229.09	$389.05
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $134.90 / $288.40	Professional	TC	$45.71	$134.90	$288.40

Wisconsin rates for HCPCS 95861