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 $831.76 / $1,548.82 / $14,454.40	Facility	$831.76	$1,548.82	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $794.33 / $1,445.44	Professional	$691.83	$794.33	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,677.35 / $10,232.93 / $17,378.01	Facility	$4,677.35	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,412.54 / $3,630.78	Professional	$707.95	$1,412.54	$3,630.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $2,290.87 / $3,715.35	Facility	$1,949.84	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,862.09 / $3,162.28	Professional	$724.44	$1,862.09	$3,162.28
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $1,000.00 / $6,309.57	Facility	$691.83	$1,000.00	$6,309.57
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,621.81 / $2,344.23	Professional	$1,318.26	$1,621.81	$2,344.23
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $1,023.29 / $13,489.63	Facility	$691.83	$1,023.29	$13,489.63
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,318.26 / $6,760.83	Professional	$741.31	$1,318.26	$6,760.83
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 $1,513.56 / $9,332.54 / $15,848.93	Facility	$1,513.56	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,659.59 / $2,951.21	Professional	$812.83	$1,659.59	$2,951.21
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,621.81 / $2,511.89	Professional	$891.25	$1,621.81	$2,511.89
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $16,595.87 / $16,595.87	Facility	$1,230.27	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $3,467.37 / $6,760.83	Professional	$741.31	$3,467.37	$6,760.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,754.23 / $2,754.23 / $2,754.23	Professional	$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,344.23 / $2,818.38 / $3,715.35	Professional	$2,344.23	$2,818.38	$3,715.35
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $12,022.64 / $15,848.93	Facility	$5,248.07	$12,022.64	$15,848.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,071.52 / $2,818.38	Professional	$691.83	$1,071.52	$2,818.38

Wisconsin rates for HCPCS 42235