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 $1,819.70 / $3,548.13 / $14,454.40	Facility	$1,819.70	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $1,949.84 / $4,265.80	Professional	$1,659.59	$1,949.84	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,786.30 / $7,585.78	Facility	$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $3,630.78 / $10,000.00	Professional	$2,041.74	$3,630.78	$10,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,897.79 / $5,754.40 / $9,120.11	Facility	$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $7,413.10 / $8,317.64	Professional	$2,089.30	$7,413.10	$8,317.64
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $3,090.30 / $5,370.32	Facility	$1,737.80	$3,090.30	$5,370.32
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,019.95 / $4,168.69 / $5,370.32	Professional	$3,019.95	$4,168.69	$5,370.32
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $2,818.38 / $4,466.84	Facility	$1,737.80	$2,818.38	$4,466.84
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $3,467.37 / $13,182.57	Professional	$1,584.89	$3,467.37	$13,182.57
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 $2,951.21 / $3,090.30 / $3,801.89	Facility	$2,951.21	$3,090.30	$3,801.89
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $4,570.88 / $8,317.64	Professional	$2,137.96	$4,570.88	$8,317.64
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $4,570.88 / $6,760.83	Professional	$2,511.89	$4,570.88	$6,760.83
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $4,466.84 / $12,302.69	Facility	$1,737.80	$4,466.84	$12,302.69
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,019.95 / $10,000.00 / $12,302.69	Professional	$3,019.95	$10,000.00	$12,302.69
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Professional	$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $11,481.54 / $13,182.57	Professional	$6,165.95	$11,481.54	$13,182.57
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $2,818.38 / $5,128.61	Facility	$2,238.72	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $3,019.95 / $8,128.31	Professional	$1,584.89	$3,019.95	$8,128.31

Wisconsin rates for HCPCS 20697