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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $645.65 / $954.99	Facility	$257.04	$645.65	$954.99
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $331.13 / $1,000.00	Professional	$165.96	$331.13	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,090.30 / $5,754.40	Facility	$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $549.54 / $1,202.26	Professional	$288.40	$549.54	$1,202.26
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $223.87 / $245.47	Facility	$186.21	$223.87	$245.47
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $309.03 / $380.19	Professional	$281.84	$309.03	$380.19
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $977.24 / $1,548.82	Facility	$831.76	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $501.19 / $831.76	Professional	$223.87	$501.19	$831.76
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $549.54 / $3,388.44	Facility	$190.55	$549.54	$3,388.44
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $562.34 / $912.01	Professional	$363.08	$562.34	$912.01
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $549.54 / $1,737.80	Facility	$194.98	$549.54	$1,737.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $501.19 / $1,445.44	Professional	$281.84	$501.19	$1,445.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $575.44	Professional	$32.36	$33.11	$575.44
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $891.25 / $2,344.23	Facility	$398.11	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $645.65 / $870.96	Professional	$338.84	$645.65	$870.96
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $575.44 / $1,000.00	Professional	$331.13	$575.44	$1,000.00
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $2,754.23 / $2,754.23	Facility	$758.58	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $478.63 / $2,238.72	Professional	$234.42	$478.63	$2,238.72
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $588.84	Professional	$363.08	$363.08	$588.84
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $831.76 / $1,348.96	Professional	$363.08	$831.76	$1,348.96
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 $91.20 / $323.59 / $1,174.90	Professional	$91.20	$323.59	$1,174.90

Wisconsin rates for HCPCS 12042