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 $0.87 / $954.99 / $2,454.71	Facility	$0.87	$954.99	$2,454.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $851.14 / $1,479.11	Professional	$645.65	$851.14	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,165.95 / $10,232.93 / $17,378.01	Facility	$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,513.56 / $3,890.45	Professional	$794.33	$1,513.56	$3,890.45
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $2,691.53 / $4,265.80	Facility	$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,479.11 / $3,630.78	Professional	$741.31	$1,479.11	$3,630.78
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $933.25 / $5,128.61	Facility	$660.69	$933.25	$5,128.61
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,659.59 / $2,511.89	Professional	$1,202.26	$1,659.59	$2,511.89
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $954.99 / $6,918.31	Facility	$660.69	$954.99	$6,918.31
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,819.70 / $6,456.54	Professional	$851.14	$1,819.70	$6,456.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,096.48	Professional	$32.36	$33.11	$1,096.48
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $5,754.40 / $7,762.47	Facility	$1,445.44	$5,754.40	$7,762.47
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,862.09 / $2,884.03	Professional	$933.25	$1,862.09	$2,884.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,659.59 / $2,951.21	Professional	$954.99	$1,659.59	$2,951.21
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $16,595.87 / $16,595.87	Facility	$1,148.15	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,778.28 / $6,165.95	Professional	$691.83	$1,778.28	$6,165.95
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $3,162.28	Professional	$2,454.71	$2,454.71	$3,162.28
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,162.28 / $4,365.16	Professional	$2,454.71	$3,162.28	$4,365.16
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $7,585.78 / $9,772.37	Facility	$4,570.88	$7,585.78	$9,772.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,122.02 / $2,884.03	Professional	$707.95	$1,122.02	$2,884.03

Wisconsin rates for HCPCS 42260