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 $1,000.00 / $2,089.30 / $14,454.40	Facility	$1,000.00	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,023.29 / $2,570.40	Professional	$933.25	$1,023.29	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,964.78 / $18,197.01	Facility	$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $2,089.30 / $5,370.32	Professional	$1,023.29	$2,089.30	$5,370.32
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,691.53 / $3,090.30 / $5,248.07	Facility	$2,691.53	$3,090.30	$5,248.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $4,168.69 / $4,677.35	Professional	$1,202.26	$4,168.69	$4,677.35
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,137.96 / $7,244.36	Facility	$1,000.00	$2,137.96	$7,244.36
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $2,454.71 / $3,162.28	Professional	$1,819.70	$2,454.71	$3,162.28
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $2,344.23 / $15,135.61	Facility	$1,023.29	$2,344.23	$15,135.61
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,905.46 / $11,220.18	Professional	$1,071.52	$1,905.46	$11,220.18
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 $2,041.74 / $9,332.54 / $15,848.93	Facility	$2,041.74	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $2,398.83 / $4,365.16	Professional	$1,258.93	$2,398.83	$4,365.16
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $2,187.76 / $3,235.94	Professional	$1,445.44	$2,187.76	$3,235.94
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $11,220.18 / $16,595.87 / $16,595.87	Facility	$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $5,011.87 / $11,220.18	Professional	$1,819.70	$5,011.87	$11,220.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,311.31 / $3,311.31 / $3,311.31	Professional	$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,388.44 / $5,754.40 / $6,456.54	Professional	$3,388.44	$5,754.40	$6,456.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,585.78 / $12,022.64 / $15,848.93	Facility	$7,585.78	$12,022.64	$15,848.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,548.82 / $4,168.69	Professional	$1,023.29	$1,548.82	$4,168.69

Wisconsin rates for HCPCS 21242