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 $37.15 / $120.23 / $1,905.46	Facility		$37.15	$120.23	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $91.20 / $309.03	Professional		$38.90	$91.20	$309.03
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $26.30 / $109.65 / $194.98	Professional	50	$26.30	$109.65	$194.98
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 $48.98 / $81.28 / $234.42	Professional		$48.98	$81.28	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $123.03 / $363.08	Professional	50	$74.13	$123.03	$363.08
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $46.77 / $61.66	Facility		$43.65	$46.77	$61.66
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $177.83 / $281.84	Facility		$151.36	$177.83	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $134.90 / $251.19	Professional		$56.23	$134.90	$251.19
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $75.86 / $3,162.28	Facility		$38.90	$75.86	$3,162.28
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $158.49	Professional		$70.79	$104.71	$158.49
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $79.43 / $1,584.89	Facility		$38.90	$79.43	$1,584.89
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $120.23 / $426.58	Professional		$60.26	$120.23	$426.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $891.25 / $2,344.23	Facility		$85.11	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $138.04 / $239.88	Professional		$70.79	$138.04	$239.88
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $114.82 / $199.53	Professional		$64.57	$114.82	$199.53
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $2,951.21 / $2,951.21	Facility		$112.20	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $269.15 / $416.87	Professional		$67.61	$269.15	$416.87
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $190.55	Professional		$125.89	$125.89	$190.55
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $245.47 / $371.54	Professional		$95.50	$245.47	$371.54
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 $58.88 / $100.00 / $346.74	Professional		$58.88	$100.00	$346.74

Wisconsin rates for HCPCS 20551