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 $1,548.82 / $2,511.89 / $14,454.40	Facility	$1,548.82	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,548.82 / $4,073.80	Professional	$1,071.52	$1,548.82	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $7,943.28 / $12,589.25	Facility	$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $2,344.23 / $6,760.83	Professional	$1,174.90	$2,344.23	$6,760.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $3,630.78 / $5,754.40	Facility	$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $3,801.89 / $4,570.88	Professional	$1,949.84	$3,801.89	$4,570.88
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $7,244.36 / $14,454.40	Facility	$1,412.54	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,570.40 / $3,162.28 / $3,715.35	Professional	$2,570.40	$3,162.28	$3,715.35
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $7,585.78 / $12,589.25	Facility	$1,412.54	$7,585.78	$12,589.25
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $2,454.71 / $7,079.46	Professional	$1,445.44	$2,454.71	$7,079.46
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,659.59	Professional	$32.36	$33.11	$1,659.59
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $8,511.38 / $9,120.11	Facility	$2,398.83	$8,511.38	$9,120.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $3,467.37 / $5,495.41	Professional	$1,778.28	$3,467.37	$5,495.41
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,818.38 / $5,128.61	Professional	$1,737.80	$2,818.38	$5,128.61
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $15,488.17 / $15,488.17	Facility	$5,248.07	$15,488.17	$15,488.17
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $6,025.60 / $8,912.51	Professional	$2,089.30	$6,025.60	$8,912.51
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional	$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,495.41 / $8,317.64 / $8,317.64	Professional	$5,495.41	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $10,232.93 / $12,022.64	Facility	$6,456.54	$10,232.93	$12,022.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $2,398.83 / $5,370.32	Professional	$1,380.38	$2,398.83	$5,370.32

Wisconsin rates for HCPCS 35231