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 $95.50 / $204.17 / $204.17	Facility	$95.50	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $100.00 / $251.19	Professional	$93.33	$100.00	$251.19
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $194.98 / $489.78	Professional	$102.33	$194.98	$489.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $478.63	Facility	$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $316.23 / $363.08	Professional	$141.25	$316.23	$363.08
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $2,630.27 / $5,128.61	Facility	$100.00	$2,630.27	$5,128.61
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $245.47 / $309.03	Professional	$177.83	$245.47	$309.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $3,388.44 / $9,549.93	Facility	$109.65	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $186.21 / $501.19	Professional	$104.71	$186.21	$501.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $134.90	Professional	$32.36	$50.12	$134.90
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $316.23 / $457.09	Professional	$138.04	$316.23	$457.09
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $218.78 / $371.54	Professional	$112.20	$218.78	$371.54
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $1,288.25	Facility	$257.04	$257.04	$1,288.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $501.19 / $1,621.81	Professional	$186.21	$501.19	$1,621.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional	$436.52	$436.52	$436.52
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $549.54 / $741.31	Professional	$416.87	$549.54	$741.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $4,897.79 / $19,498.45	Facility	$1,995.26	$4,897.79	$19,498.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $165.96 / $416.87	Professional	$87.10	$165.96	$416.87

Wisconsin rates for HCPCS 38204