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 $1,047.13 / $1,949.84 / $14,454.40	Facility	$1,047.13	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,023.29 / $1,862.09	Professional	$891.25	$1,023.29	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,897.79 / $9,332.54	Facility	$3,311.31	$4,897.79	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,819.70 / $4,677.35	Professional	$954.99	$1,819.70	$4,677.35
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $2,884.03 / $4,570.88	Facility	$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $2,344.23 / $3,981.07	Professional	$1,000.00	$2,344.23	$3,981.07
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $1,348.96 / $6,309.57	Facility	$912.01	$1,348.96	$6,309.57
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $2,089.30 / $2,951.21	Professional	$1,659.59	$2,089.30	$2,951.21
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $1,479.11 / $12,882.50	Facility	$912.01	$1,479.11	$12,882.50
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,659.59 / $9,120.11	Professional	$977.24	$1,659.59	$9,120.11
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 $1,819.70 / $9,332.54 / $15,848.93	Facility	$1,819.70	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,995.26 / $3,715.35	Professional	$1,047.13	$1,995.26	$3,715.35
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $2,041.74 / $3,162.28	Professional	$1,122.02	$2,041.74	$3,162.28
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $7,943.28 / $7,943.28	Facility	$1,621.81	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $4,677.35 / $9,120.11	Professional	$954.99	$4,677.35	$9,120.11
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,467.37 / $3,467.37 / $3,467.37	Professional	$3,467.37	$3,467.37	$3,467.37
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $3,467.37 / $4,786.30	Professional	$2,884.03	$3,467.37	$4,786.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $12,022.64 / $14,454.40	Facility	$5,248.07	$12,022.64	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,380.38 / $3,801.89	Professional	$933.25	$1,380.38	$3,801.89

Wisconsin rates for HCPCS 42205