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. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $660.69 / $3,467.37	Facility		$109.65	$660.69	$3,467.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $125.89 / $416.87	Professional		$53.70	$125.89	$416.87
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $3,090.30 / $5,754.40	Facility		$1,380.38	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $199.53 / $467.74	Professional		$95.50	$199.53	$467.74
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $144.54 / $302.00 / $707.95	Professional	50	$144.54	$302.00	$707.95
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $67.61 / $74.13	Facility		$56.23	$67.61	$74.13
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $128.82 / $158.49	Professional		$117.49	$128.82	$158.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $158.49 / $354.81	Professional		$67.61	$158.49	$354.81
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $173.78 / $3,981.07	Facility		$60.26	$173.78	$3,981.07
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $204.17 / $380.19	Professional		$109.65	$204.17	$380.19
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $194.98 / $1,737.80	Facility		$66.07	$194.98	$1,737.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $194.98 / $630.96	Professional		$100.00	$194.98	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $891.25 / $2,344.23	Facility		$123.03	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $245.47 / $363.08	Professional		$131.83	$245.47	$363.08
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $204.17 / $436.52	Professional		$109.65	$204.17	$436.52
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $2,454.71 / $2,454.71	Facility		$831.76	$2,454.71	$2,454.71
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $147.91 / $933.25	Professional		$63.10	$147.91	$933.25
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $245.47	Professional		$109.65	$109.65	$245.47
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $257.04 / $562.34	Professional		$134.90	$257.04	$562.34
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $144.54 / $380.19	Professional		$63.10	$144.54	$380.19

Wisconsin rates for HCPCS 11042