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 $47.86 / $47.86 / $165.96	Facility	26	$47.86	$47.86	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $363.08 / $562.34	Professional		$269.15	$363.08	$562.34
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $316.23 / $489.78	Professional	TC	$234.42	$316.23	$489.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $562.34 / $1,258.93	Professional		$338.84	$562.34	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $478.63 / $1,122.02	Professional	TC	$288.40	$478.63	$1,122.02
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $363.08 / $645.65	Professional		$53.70	$363.08	$645.65
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $117.49 / $138.04 / $218.78	Facility	26	$117.49	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $977.24 / $1,288.25	Professional		$467.74	$977.24	$1,288.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $851.14 / $1,148.15	Professional	TC	$407.38	$851.14	$1,148.15
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $776.25 / $1,000.00	Professional		$660.69	$776.25	$1,000.00
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $691.83 / $891.25	Professional	TC	$588.84	$691.83	$891.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $616.60 / $2,344.23	Professional		$354.81	$616.60	$2,344.23
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $512.86 / $2,041.74	Professional	TC	$309.03	$512.86	$2,041.74
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $501.19 / $933.25	Professional		$275.42	$501.19	$933.25
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $436.52 / $831.76	Professional	TC	$331.13	$436.52	$831.76
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $891.25 / $1,318.26	Professional		$524.81	$891.25	$1,318.26
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $281.84	Facility	26	$104.71	$104.71	$281.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,698.24 / $2,344.23	Professional		$398.11	$1,698.24	$2,344.23
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $1,445.44 / $2,041.74	Professional	TC	$354.81	$1,445.44	$2,041.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
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 $389.05 / $389.05 / $389.05	Professional	TC	$389.05	$389.05	$389.05
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,071.52 / $1,905.46	Professional		$707.95	$1,071.52	$1,905.46
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $724.44 / $912.01	Professional	TC	$489.78	$724.44	$912.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $1,096.48 / $1,698.24	Professional		$380.19	$1,096.48	$1,698.24
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $501.19 / $1,023.29	Professional	TC	$309.03	$501.19	$1,023.29

Wisconsin rates for HCPCS 95938