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 $138.04 / $257.04 / $1,905.46	Facility	$138.04	$257.04	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $190.55 / $363.08	Professional	$123.03	$190.55	$363.08
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 $158.49 / $331.13 / $870.96	Professional	$158.49	$331.13	$870.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $645.65 / $1,023.29	Facility	$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $338.84 / $870.96	Professional	$151.36	$338.84	$870.96
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $208.93 / $2,754.23	Facility	$125.89	$208.93	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $363.08 / $562.34	Professional	$229.09	$363.08	$562.34
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $213.80 / $1,380.38	Facility	$125.89	$213.80	$1,380.38
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $436.52 / $1,548.82	Professional	$194.98	$436.52	$1,548.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $177.83	Professional	$32.36	$33.11	$177.83
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $891.25 / $2,344.23	Facility	$275.42	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $389.05 / $616.60	Professional	$223.87	$389.05	$616.60
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $389.05 / $707.95	Professional	$208.93	$389.05	$707.95
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $1,513.56 / $1,513.56	Facility	$213.80	$1,513.56	$1,513.56
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $446.68 / $1,479.11	Professional	$151.36	$446.68	$1,479.11
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $758.58	Professional	$457.09	$457.09	$758.58
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $645.65 / $1,047.13	Professional	$398.11	$645.65	$1,047.13
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 $131.83 / $245.47 / $741.31	Professional	$131.83	$245.47	$741.31

Wisconsin rates for HCPCS 42809