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 $199.53 / $371.54 / $1,905.46	Facility	$199.53	$371.54	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $245.47 / $446.68	Professional	$169.82	$245.47	$446.68
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 $223.87 / $426.58 / $1,122.02	Professional	$223.87	$426.58	$1,122.02
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $812.83 / $1,318.26	Facility	$707.95	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $436.52 / $1,096.48	Professional	$204.17	$436.52	$1,096.48
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $269.15 / $2,754.23	Facility	$169.82	$269.15	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $478.63 / $758.58	Professional	$331.13	$478.63	$758.58
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $1,380.38	Facility	$169.82	$275.42	$1,380.38
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $562.34 / $2,398.83	Professional	$263.03	$562.34	$2,398.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $239.88	Professional	$32.36	$33.11	$239.88
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $891.25 / $2,344.23	Facility	$363.08	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $524.81 / $776.25	Professional	$281.84	$524.81	$776.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $512.86 / $870.96	Professional	$281.84	$512.86	$870.96
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $1,995.26 / $1,995.26	Facility	$302.00	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $549.54 / $2,398.83	Professional	$204.17	$549.54	$2,398.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $977.24	Professional	$645.65	$645.65	$977.24
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $912.01 / $1,318.26	Professional	$549.54	$912.01	$1,318.26
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 $190.55 / $323.59 / $851.14	Professional	$190.55	$323.59	$851.14

Wisconsin rates for HCPCS 42320