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 $36.31 / $36.31 / $125.89	Facility	26	$36.31	$36.31	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $104.71 / $257.04	Professional		$64.57	$104.71	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $134.90	Professional	26	$28.18	$36.31	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $69.18 / $114.82	Professional	TC	$34.67	$69.18	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $151.36 / $363.08	Professional		$85.11	$151.36	$363.08
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $53.70 / $120.23	Professional	26	$33.88	$53.70	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $102.33 / $245.47	Professional	TC	$51.29	$102.33	$245.47
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $74.13 / $134.90	Professional		$40.74	$74.13	$134.90
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $104.71 / $169.82	Facility	26	$89.13	$104.71	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $269.15 / $346.74	Professional		$131.83	$269.15	$346.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $87.10 / $123.03	Professional	26	$43.65	$87.10	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $181.97 / $234.42	Professional	TC	$79.43	$181.97	$234.42
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $208.93 / $275.42	Professional		$181.97	$208.93	$275.42
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $70.79 / $91.20	Professional	26	$61.66	$70.79	$91.20
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $141.25 / $181.97	Professional	TC	$120.23	$141.25	$181.97
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $154.88 / $691.83	Professional		$69.18	$154.88	$691.83
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $66.07 / $223.87	Professional	26	$36.31	$66.07	$223.87
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $89.13 / $467.74	Professional	TC	$24.55	$89.13	$467.74
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 $75.86 / $141.25 / $257.04	Professional		$75.86	$141.25	$257.04
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $52.48 / $89.13	Professional	26	$34.67	$52.48	$89.13
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $85.11 / $173.78	Professional	TC	$60.26	$85.11	$173.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $234.42 / $354.81	Professional		$138.04	$234.42	$354.81
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $213.80 / $213.80	Facility	26	$100.00	$213.80	$213.80
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $457.09 / $691.83	Professional		$120.23	$457.09	$691.83
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $173.78 / $223.87	Professional	26	$40.74	$173.78	$223.87
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $281.84 / $467.74	Professional	TC	$79.43	$281.84	$467.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	TC	$91.20	$91.20	$91.20
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $257.04 / $537.03	Professional		$114.82	$257.04	$537.03
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $87.10 / $109.65	Professional	26	$53.70	$87.10	$109.65
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $114.82 / $173.78	Professional	TC	$93.33	$114.82	$173.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $288.40 / $512.86	Professional		$87.10	$288.40	$512.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $97.72 / $162.18	Professional	26	$44.67	$97.72	$162.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $89.13 / $199.53	Professional	TC	$23.99	$89.13	$199.53

Wisconsin rates for HCPCS 95937