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 $147.91 / $2,187.76 / $14,791.08	Facility	$147.91	$2,187.76	$14,791.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $213.80 / $446.68	Professional	$128.82	$213.80	$446.68
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,570.88 / $7,079.46	Facility	$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $354.81 / $933.25	Professional	$173.78	$354.81	$933.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $691.83 / $1,096.48	Facility	$588.84	$691.83	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $363.08 / $933.25	Professional	$165.96	$363.08	$933.25
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $234.42 / $3,311.31	Facility	$131.83	$234.42	$3,311.31
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $389.05 / $602.56	Professional	$251.19	$389.05	$602.56
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $239.88 / $3,981.07	Facility	$131.83	$239.88	$3,981.07
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $478.63 / $1,621.81	Professional	$213.80	$478.63	$1,621.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $186.21	Professional	$32.36	$33.11	$186.21
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $3,890.45 / $4,570.88	Facility	$288.40	$3,890.45	$4,570.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $407.38 / $660.69	Professional	$239.88	$407.38	$660.69
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $407.38 / $724.44	Professional	$218.78	$407.38	$724.44
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $1,995.26 / $1,995.26	Facility	$229.09	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $457.09 / $1,548.82	Professional	$169.82	$457.09	$1,548.82
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $812.83	Professional	$489.78	$489.78	$812.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $707.95 / $1,122.02	Professional	$416.87	$707.95	$1,122.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,754.23 / $3,548.13 / $7,244.36	Facility	$2,754.23	$3,548.13	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $263.03 / $724.44	Professional	$144.54	$263.03	$724.44

Wisconsin rates for HCPCS 42104