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 $46.77 / $46.77 / $162.18	Facility	26	$46.77	$46.77	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $87.10 / $154.88	Professional		$67.61	$87.10	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $44.67 / $72.44	Professional	26	$36.31	$44.67	$72.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $41.69 / $70.79	Professional	TC	$30.90	$41.69	$70.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $263.03	Professional		$81.28	$120.23	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $134.90	Professional	26	$43.65	$63.10	$134.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $58.88 / $125.89	Professional	TC	$36.31	$58.88	$125.89
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $117.49 / $134.90 / $218.78	Facility	26	$117.49	$134.90	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $295.12	Professional		$112.20	$229.09	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $114.82 / $158.49	Professional	26	$57.54	$114.82	$158.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $114.82 / $147.91	Professional	TC	$53.70	$114.82	$147.91
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $181.97 / $245.47	Professional		$154.88	$181.97	$245.47
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $91.20 / $123.03	Professional	26	$79.43	$91.20	$123.03
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $89.13 / $120.23	Professional	TC	$77.62	$89.13	$120.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $154.88 / $562.34	Professional		$81.28	$154.88	$562.34
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $85.11 / $316.23	Professional	26	$47.86	$85.11	$316.23
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $69.18 / $316.23	Professional	TC	$30.20	$69.18	$316.23
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 $64.57 / $128.82 / $223.87	Professional		$64.57	$128.82	$223.87
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $69.18 / $114.82	Professional	26	$44.67	$69.18	$114.82
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $66.07 / $109.65	Professional	TC	$43.65	$66.07	$109.65
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $199.53 / $295.12	Professional		$117.49	$199.53	$295.12
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $281.84 / $281.84	Facility	26	$102.33	$281.84	$281.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $416.87 / $562.34	Professional		$104.71	$416.87	$562.34
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $223.87 / $316.23	Professional	26	$54.95	$223.87	$316.23
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $194.98 / $316.23	Professional	TC	$51.29	$194.98	$316.23
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	TC	$54.95	$54.95	$54.95
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $275.42 / $457.09	Professional		$177.83	$275.42	$457.09
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $114.82 / $144.54	Professional	26	$69.18	$114.82	$144.54
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $97.72 / $138.04	Professional	TC	$69.18	$97.72	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $138.04 / $295.12	Professional		$83.18	$138.04	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $77.62 / $154.88	Professional	26	$47.86	$77.62	$154.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $64.57 / $134.90	Professional	TC	$28.84	$64.57	$134.90

Wisconsin rates for HCPCS 95921