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 $912.01 / $1,659.59 / $14,454.40	Facility	$912.01	$1,659.59	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $891.25 / $1,659.59	Professional	$758.58	$891.25	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,964.78 / $18,197.01	Facility	$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,548.82 / $3,981.07	Professional	$812.83	$1,548.82	$3,981.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,511.89 / $3,981.07	Facility	$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $2,041.74 / $3,467.37	Professional	$851.14	$2,041.74	$3,467.37
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $1,174.90 / $5,888.44	Facility	$776.25	$1,174.90	$5,888.44
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,778.28 / $2,754.23	Professional	$1,412.54	$1,778.28	$2,754.23
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $1,258.93 / $13,489.63	Facility	$776.25	$1,258.93	$13,489.63
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,479.11 / $7,079.46	Professional	$851.14	$1,479.11	$7,079.46
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional	$32.36	$33.11	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $9,332.54 / $15,848.93	Facility	$1,621.81	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,862.09 / $3,235.94	Professional	$891.25	$1,862.09	$3,235.94
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,698.24 / $2,630.27	Professional	$933.25	$1,698.24	$2,630.27
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $16,595.87 / $16,595.87	Facility	$1,380.38	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $3,981.07 / $7,079.46	Professional	$851.14	$3,981.07	$7,079.46
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,019.95 / $3,019.95 / $3,019.95	Professional	$3,019.95	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,570.40 / $3,235.94 / $4,073.80	Professional	$2,570.40	$3,235.94	$4,073.80
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 $794.33 / $1,230.27 / $3,235.94	Professional	$794.33	$1,230.27	$3,235.94

Wisconsin rates for HCPCS 42509