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 $933.25 / $1,949.84 / $13,489.63	Facility	$933.25	$1,949.84	$13,489.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,202.26 / $2,511.89	Professional	$891.25	$1,202.26	$2,511.89
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 $1,174.90 / $1,949.84 / $5,011.87	Professional	$1,174.90	$1,949.84	$5,011.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,235.94 / $3,801.89 / $6,456.54	Facility	$3,235.94	$3,801.89	$6,456.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $2,884.03 / $5,370.32	Professional	$1,122.02	$2,884.03	$5,370.32
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,905.46 / $8,709.64	Facility	$977.24	$1,905.46	$8,709.64
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,511.89 / $3,388.44	Professional	$1,737.80	$2,511.89	$3,388.44
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,949.84 / $13,182.57	Facility	$977.24	$1,949.84	$13,182.57
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $2,454.71 / $12,022.64	Professional	$1,202.26	$2,454.71	$12,022.64
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,202.26	Professional	$32.36	$33.11	$1,202.26
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $9,332.54 / $15,848.93	Facility	$1,778.28	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,691.53 / $4,265.80	Professional	$1,513.56	$2,691.53	$4,265.80
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,698.24 / $2,818.38 / $4,265.80	Professional	$1,698.24	$2,818.38	$4,265.80
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,709.64 / $16,218.10 / $23,988.33	Facility	$8,709.64	$16,218.10	$23,988.33
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $5,888.44 / $12,022.64	Professional	$1,513.56	$5,888.44	$12,022.64
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,019.95 / $3,019.95 / $3,890.45	Professional	$3,019.95	$3,019.95	$3,890.45
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $6,025.60 / $7,943.28	Professional	$2,884.03	$6,025.60	$7,943.28
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 $1,000.00 / $1,659.59 / $4,365.16	Professional	$1,000.00	$1,659.59	$4,365.16

Wisconsin rates for HCPCS 21245