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 Professional Modifier Typical Low / Median / Typical High $331.13 / $371.54 / $812.83	Professional		$331.13	$371.54	$812.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $181.97 / $977.24	Professional	26	$162.18	$181.97	$977.24
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $190.55 / $489.78	Professional	TC	$169.82	$190.55	$489.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $776.25 / $2,238.72	Professional		$173.78	$776.25	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $363.08 / $1,047.13	Professional	26	$74.13	$363.08	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $446.68 / $1,348.96	Professional	TC	$100.00	$446.68	$1,348.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,318.26 / $1,949.84	Facility		$1,148.15	$1,318.26	$1,949.84
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $616.60 / $912.01	Facility	26	$537.03	$616.60	$912.01
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $616.60 / $707.95 / $1,023.29	Facility	TC	$616.60	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $1,202.26	Professional		$331.13	$436.52	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $204.17 / $602.56	Professional	26	$154.88	$204.17	$602.56
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $234.42 / $707.95	Professional	TC	$173.78	$234.42	$707.95
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $630.96 / $1,445.44	Facility		$331.13	$630.96	$1,445.44
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,096.48	Professional		$1,000.00	$1,000.00	$1,096.48
DeanCare Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $478.63 / $478.63 / $524.81	Professional	26	$478.63	$478.63	$524.81
DeanCare Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $524.81 / $575.44	Professional	TC	$524.81	$524.81	$575.44
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $741.31 / $1,819.70	Facility		$331.13	$741.31	$1,819.70
Medica Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Facility	26	$851.14	$851.14	$851.14
Medica Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility	TC	$1,445.44	$1,445.44	$1,445.44
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $562.34 / $5,754.40	Professional		$269.15	$562.34	$5,754.40
Medica Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $295.12 / $1,096.48	Professional	26	$131.83	$295.12	$1,096.48
Medica Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $389.05 / $2,238.72	Professional	TC	$134.90	$389.05	$2,238.72
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $588.84 / $1,230.27	Professional		$338.84	$588.84	$1,230.27
Network Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $245.47 / $602.56	Professional	26	$162.18	$245.47	$602.56
Network Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $346.74 / $630.96	Professional	TC	$177.83	$346.74	$630.96
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $851.14 / $1,258.93	Professional		$616.60	$851.14	$1,258.93
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $2,238.72	Facility		$851.14	$851.14	$2,238.72
Quartz Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $331.13 / $331.13 / $1,096.48	Facility	26	$331.13	$331.13	$1,096.48
Quartz Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $436.52 / $436.52 / $1,445.44	Facility	TC	$436.52	$436.52	$1,445.44
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $1,659.59 / $5,754.40	Professional		$323.59	$1,659.59	$5,754.40
Quartz Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $912.01 / $1,096.48	Professional	26	$154.88	$912.01	$1,096.48
Quartz Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $812.83 / $2,238.72	Professional	TC	$173.78	$812.83	$2,238.72
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $724.44	Professional		$354.81	$354.81	$724.44
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $371.54	Professional	26	$138.04	$138.04	$371.54
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $218.78 / $363.08	Professional	TC	$218.78	$218.78	$363.08
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,862.09 / $2,570.40	Professional		$1,174.90	$1,862.09	$2,570.40
Security Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $446.68 / $707.95	Professional	26	$138.04	$446.68	$707.95
Security Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $524.81 / $1,047.13	Professional	TC	$218.78	$524.81	$1,047.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $467.74 / $1,023.29	Professional		$95.50	$467.74	$1,023.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $331.13 / $478.63	Professional	26	$100.00	$331.13	$478.63
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $208.93 / $741.31	Professional	TC	$120.23	$208.93	$741.31

Wisconsin rates for HCPCS G0416