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 $251.19 / $467.74 / $3,090.30	Facility	$251.19	$467.74	$3,090.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $302.00 / $676.08	Professional	$218.78	$302.00	$676.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,570.88 / $7,079.46	Facility	$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $512.86 / $1,380.38	Professional	$281.84	$512.86	$1,380.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $954.99 / $1,513.56	Facility	$812.83	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $524.81 / $1,288.25	Professional	$257.04	$524.81	$1,288.25
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $309.03 / $3,311.31	Facility	$208.93	$309.03	$3,311.31
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $602.56 / $891.25	Professional	$416.87	$602.56	$891.25
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $316.23 / $3,801.89	Facility	$208.93	$316.23	$3,801.89
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $660.69 / $2,290.87	Professional	$309.03	$660.69	$2,290.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $302.00	Professional	$32.36	$33.11	$302.00
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $3,890.45 / $4,786.30	Facility	$457.09	$3,890.45	$4,786.30
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $645.65 / $1,000.00	Professional	$331.13	$645.65	$1,000.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $602.56 / $1,023.29	Professional	$331.13	$602.56	$1,023.29
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $3,715.35 / $3,715.35	Facility	$389.05	$3,715.35	$3,715.35
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $645.65 / $2,187.76	Professional	$251.19	$645.65	$2,187.76
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $1,122.02	Professional	$831.76	$831.76	$1,122.02
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,122.02 / $1,548.82	Professional	$691.83	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,754.23 / $3,548.13 / $6,606.93	Facility	$2,754.23	$3,548.13	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $389.05 / $1,047.13	Professional	$239.88	$389.05	$1,047.13

Wisconsin rates for HCPCS 42405