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 $123.03 / $223.87 / $1,905.46	Facility	$123.03	$223.87	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $165.96 / $302.00	Professional	$104.71	$165.96	$302.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,090.30 / $5,754.40	Facility	$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $288.40 / $741.31	Professional	$141.25	$288.40	$741.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $562.34 / $891.25	Facility	$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $295.12 / $758.58	Professional	$128.82	$295.12	$758.58
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $181.97 / $2,754.23	Facility	$107.15	$181.97	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $316.23 / $489.78	Professional	$199.53	$316.23	$489.78
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $186.21 / $1,318.26	Facility	$109.65	$186.21	$1,318.26
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $380.19 / $1,318.26	Professional	$169.82	$380.19	$1,318.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $144.54	Professional	$32.36	$33.11	$144.54
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $891.25 / $2,344.23	Facility	$223.87	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $512.86	Professional	$194.98	$316.23	$512.86
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $331.13 / $602.56	Professional	$177.83	$331.13	$602.56
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $1,288.25 / $1,288.25	Facility	$181.97	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $389.05 / $1,288.25	Professional	$128.82	$389.05	$1,288.25
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $660.69	Professional	$398.11	$398.11	$660.69
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $588.84 / $891.25	Professional	$398.11	$588.84	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,584.89 / $2,187.76	Facility	$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $208.93 / $575.44	Professional	$117.49	$208.93	$575.44

Wisconsin rates for HCPCS 42280