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 / $165.96	Facility	26	$46.77	$46.77	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $131.83 / $295.12	Professional		$109.65	$131.83	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $45.71 / $120.23	Professional	26	$36.31	$45.71	$120.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $85.11 / $154.88	Professional	TC	$69.18	$85.11	$154.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $457.09	Professional		$123.03	$173.78	$457.09
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $138.04	Professional	26	$43.65	$63.10	$138.04
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $112.20 / $316.23	Professional	TC	$79.43	$112.20	$316.23
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 $165.96 / $316.23 / $457.09	Professional		$165.96	$316.23	$457.09
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 $104.71 / $204.17 / $281.84	Professional	TC	$104.71	$204.17	$281.84
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $245.47 / $331.13	Professional		$213.80	$245.47	$331.13
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 $131.83 / $162.18 / $208.93	Professional	TC	$131.83	$162.18	$208.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $275.42 / $954.99	Professional		$131.83	$275.42	$954.99
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $89.13 / $389.05	Professional	26	$48.98	$89.13	$389.05
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $181.97 / $776.25	Professional	TC	$83.18	$181.97	$776.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $181.97 / $354.81	Professional		$87.10	$181.97	$354.81
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $70.79 / $114.82	Professional	26	$44.67	$70.79	$114.82
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $125.89 / $257.04	Professional	TC	$75.86	$125.89	$257.04
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $269.15 / $407.38	Professional		$134.90	$269.15	$407.38
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 $151.36 / $630.96 / $954.99	Professional		$151.36	$630.96	$954.99
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $229.09 / $389.05	Professional	26	$54.95	$229.09	$389.05
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $398.11 / $776.25	Professional	TC	$102.33	$398.11	$776.25
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
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 $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $501.19 / $724.44	Professional		$295.12	$501.19	$724.44
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 $125.89 / $234.42 / $331.13	Professional	TC	$125.89	$234.42	$331.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $346.74 / $602.56	Professional		$131.83	$346.74	$602.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $125.89 / $213.80	Professional	26	$58.88	$125.89	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $147.91 / $295.12	Professional	TC	$83.18	$147.91	$295.12

Wisconsin rates for HCPCS 95923