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 $51.29 / $169.82 / $1,380.38	Facility		$51.29	$169.82	$1,380.38
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $2,818.38	Facility	50	$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $89.13 / $331.13	Professional		$43.65	$89.13	$331.13
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $147.91 / $257.04 / $478.63	Professional	50	$147.91	$257.04	$478.63
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 $70.79 / $147.91 / $338.84	Professional		$70.79	$147.91	$338.84
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $107.15 / $229.09 / $512.86	Professional	50	$107.15	$229.09	$512.86
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $56.23 / $75.86	Facility		$52.48	$56.23	$75.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $257.04 / $416.87	Facility		$223.87	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $177.83 / $389.05	Professional		$74.13	$177.83	$389.05
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $100.00 / $3,311.31	Facility		$45.71	$100.00	$3,311.31
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $144.54 / $229.09	Professional		$83.18	$144.54	$229.09
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $218.78 / $346.74	Professional	50	$125.89	$218.78	$346.74
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $107.15 / $1,659.59	Facility		$51.29	$107.15	$1,659.59
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $147.91 / $616.60	Professional		$79.43	$147.91	$616.60
Medica Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Professional	50	$512.86	$512.86	$512.86
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $933.25 / $2,344.23	Facility		$831.76	$933.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $190.55 / $309.03	Professional		$102.33	$190.55	$309.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $144.54 / $288.40	Professional		$77.62	$144.54	$288.40
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $186.21 / $281.84	Facility		$100.00	$186.21	$281.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $208.93 / $602.56	Professional		$83.18	$208.93	$602.56
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $269.15	Professional		$147.91	$147.91	$269.15
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $288.40 / $537.03	Professional		$186.21	$288.40	$537.03
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 $52.48 / $100.00 / $275.42	Professional		$52.48	$100.00	$275.42

Wisconsin rates for HCPCS 20604