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 $1,659.59 / $3,388.44 / $14,454.40	Facility	$1,659.59	$3,388.44	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,698.24 / $5,495.41	Professional	$1,479.11	$1,698.24	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11,220.18 / $17,378.01 / $29,512.09	Facility	$11,220.18	$17,378.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $3,467.37 / $8,511.38	Professional	$1,659.59	$3,467.37	$8,511.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,365.16 / $5,128.61 / $8,709.64	Facility	$4,365.16	$5,128.61	$8,709.64
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $6,760.83 / $7,762.47	Professional	$1,949.84	$6,760.83	$7,762.47
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,548.13 / $7,244.36	Facility	$1,659.59	$3,548.13	$7,244.36
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $3,890.45 / $5,011.87	Professional	$2,884.03	$3,890.45	$5,011.87
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,548.13 / $15,848.93	Facility	$1,659.59	$3,548.13	$15,848.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,698.24 / $3,090.30 / $16,218.10	Professional	$1,698.24	$3,090.30	$16,218.10
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 $3,311.31 / $9,332.54 / $15,848.93	Facility	$3,311.31	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $3,981.07 / $7,079.46	Professional	$1,995.26	$3,981.07	$7,079.46
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,290.87 / $3,467.37 / $5,248.07	Professional	$2,290.87	$3,467.37	$5,248.07
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $53,703.18 / $79,432.82 / $79,432.82	Facility	$53,703.18	$79,432.82	$79,432.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $7,943.28 / $16,218.10	Professional	$2,884.03	$7,943.28	$16,218.10
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,248.07 / $5,248.07 / $5,248.07	Professional	$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,786.30 / $9,120.11 / $10,715.19	Professional	$4,786.30	$9,120.11	$10,715.19
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,585.78 / $12,022.64 / $16,595.87	Facility	$7,585.78	$12,022.64	$16,595.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $2,511.89 / $6,606.93	Professional	$1,659.59	$2,511.89	$6,606.93

Wisconsin rates for HCPCS 21243