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 $1,148.15 / $1,148.15 / $17,782.79	Facility	$1,148.15	$1,148.15	$17,782.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,174.90 / $2,454.71	Professional	$1,096.48	$1,174.90	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,317.64 / $14,125.38	Facility	$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $2,398.83 / $6,025.60	Professional	$1,174.90	$2,398.83	$6,025.60
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,019.95 / $4,786.30	Facility	$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $4,073.80 / $4,677.35	Professional	$1,348.96	$4,073.80	$4,677.35
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $2,290.87 / $10,471.29	Facility	$1,148.15	$2,290.87	$10,471.29
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $2,884.03	Professional	$2,884.03	$2,884.03	$2,884.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $2,344.23 / $13,489.63	Facility	$1,148.15	$2,344.23	$13,489.63
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,621.81 / $9,549.93	Professional	$1,023.29	$1,621.81	$9,549.93
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 $8,317.64 / $9,332.54 / $15,848.93	Facility	$8,317.64	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $5,011.87 / $5,248.07	Professional	$1,778.28	$5,011.87	$5,248.07
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $2,754.23 / $4,073.80	Professional	$1,819.70	$2,754.23	$4,073.80
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,128.61 / $5,128.61 / $15,135.61	Facility	$5,128.61	$5,128.61	$15,135.61
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $5,754.40 / $9,549.93	Professional	$2,089.30	$5,754.40	$9,549.93
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,235.94 / $3,235.94 / $3,235.94	Professional	$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,890.45 / $6,456.54 / $7,413.10	Professional	$3,890.45	$6,456.54	$7,413.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,760.83 / $12,022.64 / $14,454.40	Facility	$6,760.83	$12,022.64	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,479.11 / $3,890.45	Professional	$1,000.00	$1,479.11	$3,890.45

Wisconsin rates for HCPCS 21742