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 $158.49 / $288.40 / $1,905.46	Facility	$158.49	$288.40	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $218.78 / $416.87	Professional	$138.04	$218.78	$416.87
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 $190.55 / $380.19 / $1,000.00	Professional	$190.55	$380.19	$1,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $707.95 / $1,148.15	Facility	$616.60	$707.95	$1,148.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $380.19 / $870.96	Professional	$173.78	$380.19	$870.96
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $2,754.23	Facility	$128.82	$223.87	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $407.38 / $616.60	Professional	$257.04	$407.38	$616.60
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $229.09 / $3,981.07	Facility	$128.82	$229.09	$3,981.07
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $512.86 / $1,698.24	Professional	$239.88	$512.86	$1,698.24
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $199.53	Professional	$32.36	$33.11	$199.53
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $3,890.45 / $4,570.88	Facility	$302.00	$3,890.45	$4,570.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $416.87 / $691.83	Professional	$245.47	$416.87	$691.83
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $426.58 / $758.58	Professional	$229.09	$426.58	$758.58
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $2,570.40 / $2,570.40	Facility	$234.42	$2,570.40	$2,570.40
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $489.78 / $1,621.81	Professional	$181.97	$489.78	$1,621.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $870.96	Professional	$524.81	$524.81	$870.96
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $812.83 / $1,148.15	Professional	$524.81	$812.83	$1,148.15
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 $158.49 / $288.40 / $776.25	Professional	$158.49	$288.40	$776.25

Wisconsin rates for HCPCS 42160