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 $128.82 / $245.47 / $1,905.46	Facility	$128.82	$245.47	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $426.58	Professional	$112.20	$162.18	$426.58
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 $144.54 / $263.03 / $724.44	Professional	$144.54	$263.03	$724.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $501.19 / $794.33	Facility	$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $275.42 / $676.08	Professional	$131.83	$275.42	$676.08
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $158.49 / $2,754.23	Facility	$102.33	$158.49	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $467.74	Professional	$218.78	$309.03	$467.74
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $162.18 / $2,951.21	Facility	$102.33	$162.18	$2,951.21
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $346.74 / $1,174.90	Professional	$162.18	$346.74	$1,174.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $151.36	Professional	$32.36	$33.11	$151.36
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $2,951.21 / $3,235.94	Facility	$234.42	$2,951.21	$3,235.94
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $316.23 / $489.78	Professional	$173.78	$316.23	$489.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $309.03 / $524.81	Professional	$173.78	$309.03	$524.81
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $1,659.59 / $1,659.59	Facility	$199.53	$1,659.59	$1,659.59
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $331.13 / $1,148.15	Professional	$131.83	$331.13	$1,148.15
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $588.84	Professional	$426.58	$426.58	$588.84
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $588.84 / $812.83	Professional	$363.08	$588.84	$812.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $2,818.38 / $5,128.61	Facility	$2,041.74	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $204.17 / $537.03	Professional	$120.23	$204.17	$537.03

Wisconsin rates for HCPCS 42800