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 $1,318.26 / $2,754.23 / $14,454.40	Facility	$1,318.26	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,348.96 / $3,388.44	Professional	$1,230.27	$1,348.96	$3,388.44
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 $1,380.38 / $2,754.23 / $7,244.36	Professional	$1,380.38	$2,754.23	$7,244.36
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,548.13 / $4,073.80 / $6,606.93	Facility	$3,548.13	$4,073.80	$6,606.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $5,495.41 / $6,165.95	Professional	$1,548.82	$5,495.41	$6,165.95
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $2,818.38 / $10,232.93	Facility	$1,318.26	$2,818.38	$10,232.93
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $3,235.94 / $4,168.69	Professional	$2,398.83	$3,235.94	$4,168.69
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $2,951.21 / $15,135.61	Facility	$1,318.26	$2,951.21	$15,135.61
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $2,454.71 / $10,964.78	Professional	$1,412.54	$2,454.71	$10,964.78
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 $2,691.53 / $9,332.54 / $15,848.93	Facility	$2,691.53	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $3,235.94 / $5,888.44	Professional	$1,659.59	$3,235.94	$5,888.44
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $2,951.21 / $4,365.16	Professional	$1,949.84	$2,951.21	$4,365.16
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $12,302.69 / $12,302.69	Facility	$3,467.37	$12,302.69	$12,302.69
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $6,760.83 / $10,964.78	Professional	$2,398.83	$6,760.83	$10,964.78
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,466.84 / $4,466.84 / $4,466.84	Professional	$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,388.44 / $7,585.78 / $8,511.38	Professional	$3,388.44	$7,585.78	$8,511.38
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 $1,412.54 / $2,089.30 / $5,623.41	Professional	$1,412.54	$2,089.30	$5,623.41

Wisconsin rates for HCPCS 21255