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 $181.97 / $776.25 / $1,380.38	Facility	$181.97	$776.25	$1,380.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $323.59 / $776.25	Professional	$181.97	$323.59	$776.25
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 $346.74 / $630.96 / $1,479.11	Professional	$346.74	$630.96	$1,479.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,202.26 / $1,905.46	Facility	$1,023.29	$1,202.26	$1,905.46
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $575.44 / $1,023.29	Professional	$251.19	$575.44	$1,023.29
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $616.60 / $3,981.07	Facility	$213.80	$616.60	$3,981.07
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $676.08 / $1,122.02	Professional	$398.11	$676.08	$1,122.02
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $616.60 / $1,659.59	Facility	$223.87	$616.60	$1,659.59
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $630.96 / $1,621.81	Professional	$346.74	$630.96	$1,621.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $660.69	Professional	$32.36	$33.11	$660.69
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $891.25 / $2,344.23	Facility	$457.09	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $812.83 / $1,071.52	Professional	$416.87	$812.83	$1,071.52
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $676.08 / $1,288.25	Professional	$380.19	$676.08	$1,288.25
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $2,187.76 / $2,187.76	Facility	$831.76	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $588.84 / $2,754.23	Professional	$263.03	$588.84	$2,754.23
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $724.44	Professional	$398.11	$398.11	$724.44
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $933.25 / $1,659.59	Professional	$478.63	$933.25	$1,659.59
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 $100.00 / $575.44 / $1,318.26	Professional	$100.00	$575.44	$1,318.26

Wisconsin rates for HCPCS 12054