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 $79.43 / $1,230.27 / $1,778.28	Facility		$79.43	$1,230.27	$1,778.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $120.23 / $380.19	Professional		$54.95	$120.23	$380.19
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $112.20 / $338.84 / $831.76	Professional	50	$112.20	$338.84	$831.76
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 $77.62 / $154.88 / $363.08	Professional		$77.62	$154.88	$363.08
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $229.09 / $549.54	Professional	50	$120.23	$229.09	$549.54
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $69.18 / $93.33	Facility		$64.57	$69.18	$93.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $251.19 / $398.11	Facility		$213.80	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $194.98 / $354.81	Professional		$77.62	$194.98	$354.81
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $109.65 / $3,162.28	Facility		$54.95	$109.65	$3,162.28
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $151.36 / $229.09	Professional		$102.33	$151.36	$229.09
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $154.88 / $229.09 / $338.84	Professional	50	$154.88	$229.09	$338.84
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $114.82 / $1,584.89	Facility		$54.95	$114.82	$1,584.89
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $162.18 / $616.60	Professional		$81.28	$162.18	$616.60
Medica Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $229.09 / $758.58	Professional	50	$141.25	$229.09	$758.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $891.25 / $2,344.23	Facility		$112.20	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $173.78 / $281.84	Professional		$102.33	$173.78	$281.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $169.82 / $288.40	Professional		$95.50	$169.82	$288.40
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $173.78 / $2,951.21	Facility		$93.33	$173.78	$2,951.21
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $380.19 / $630.96	Professional		$100.00	$380.19	$630.96
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $263.03	Professional		$181.97	$181.97	$263.03
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $354.81 / $524.81	Professional		$151.36	$354.81	$524.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,584.89 / $2,187.76	Facility		$1,000.00	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $199.53 / $489.78	Professional		$74.13	$199.53	$489.78

Wisconsin rates for HCPCS 20526