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 $1,949.84 / $4,073.80 / $14,454.40	Facility	$1,949.84	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $2,041.74 / $5,128.61	Professional	$1,862.09	$2,041.74	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11,748.98 / $16,218.10 / $26,302.68	Facility	$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $3,890.45 / $10,000.00	Professional	$1,995.26	$3,890.45	$10,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,128.61 / $6,025.60 / $9,549.93	Facility	$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,630.27 / $8,128.31 / $9,332.54	Professional	$2,630.27	$8,128.31	$9,332.54
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $4,168.69 / $10,471.29	Facility	$1,995.26	$4,168.69	$10,471.29
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $4,786.30 / $6,165.95	Professional	$3,548.13	$4,786.30	$6,165.95
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $4,168.69 / $15,135.61	Facility	$1,995.26	$4,168.69	$15,135.61
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,238.72 / $4,073.80 / $19,054.61	Professional	$2,238.72	$4,073.80	$19,054.61
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 $3,981.07 / $10,715.19 / $17,378.01	Facility	$3,981.07	$10,715.19	$17,378.01
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $4,897.79 / $8,511.38	Professional	$2,454.71	$4,897.79	$8,511.38
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $4,365.16 / $6,456.54	Professional	$2,884.03	$4,365.16	$6,456.54
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,128.61 / $16,218.10 / $16,218.10	Facility	$5,128.61	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $9,772.37 / $19,054.61	Professional	$3,548.13	$9,772.37	$19,054.61
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,456.54 / $6,456.54 / $6,456.54	Professional	$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,981.07 / $11,220.18 / $12,589.25	Professional	$3,981.07	$11,220.18	$12,589.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,370.32 / $13,489.63 / $16,595.87	Facility	$5,370.32	$13,489.63	$16,595.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $3,162.28 / $8,317.64	Professional	$2,137.96	$3,162.28	$8,317.64

Wisconsin rates for HCPCS 20816