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 $83.18 / $97.72 / $97.72	Facility	26	$83.18	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $229.09 / $794.33	Professional		$125.89	$229.09	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $93.33 / $398.11	Professional	26	$72.44	$93.33	$398.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $61.66 / $128.82	Professional	TC	$52.48	$61.66	$128.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $190.55 / $457.09	Professional		$141.25	$190.55	$457.09
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $112.20 / $257.04	Professional	26	$79.43	$112.20	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $194.98	Professional	TC	$61.66	$85.11	$194.98
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $165.96	Professional		$60.26	$100.00	$165.96
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $208.93 / $239.88 / $389.05	Facility	26	$208.93	$239.88	$389.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $346.74 / $457.09	Professional		$173.78	$346.74	$457.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $204.17 / $263.03	Professional	26	$102.33	$204.17	$263.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $147.91 / $194.98	Professional	TC	$75.86	$147.91	$194.98
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $275.42 / $371.54	Professional		$239.88	$275.42	$371.54
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $162.18 / $218.78	Professional	26	$141.25	$162.18	$218.78
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $120.23 / $162.18	Professional	TC	$97.72	$120.23	$162.18
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $269.15 / $870.96	Professional		$154.88	$269.15	$870.96
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $154.88 / $501.19	Professional	26	$85.11	$154.88	$501.19
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $120.23 / $380.19	Professional	TC	$66.07	$120.23	$380.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $165.96 / $346.74	Professional		$100.00	$165.96	$346.74
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $204.17	Professional	26	$79.43	$97.72	$204.17
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $69.18 / $158.49	Professional	TC	$56.23	$69.18	$158.49
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $316.23 / $467.74	Professional		$186.21	$316.23	$467.74
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $181.97 / $181.97 / $501.19	Facility	26	$181.97	$181.97	$501.19
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $707.95 / $870.96	Professional		$165.96	$707.95	$870.96
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $398.11 / $501.19	Professional	26	$93.33	$398.11	$501.19
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $309.03 / $380.19	Professional	TC	$70.79	$309.03	$380.19
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	TC	$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $467.74 / $707.95	Professional		$194.98	$467.74	$707.95
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $204.17 / $257.04	Professional	26	$102.33	$204.17	$257.04
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $165.96 / $213.80	Professional	TC	$83.18	$165.96	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $398.11 / $645.65	Professional		$154.88	$398.11	$645.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $223.87 / $380.19	Professional	26	$93.33	$223.87	$380.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $107.15 / $218.78	Professional	TC	$66.07	$107.15	$218.78

Wisconsin rates for HCPCS 95909