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 $1,071.52 / $4,677.35 / $12,022.64	Facility	$1,071.52	$4,677.35	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $537.03 / $2,041.74	Professional	$281.84	$537.03	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,165.95 / $10,232.93 / $17,378.01	Facility	$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $549.54 / $1,412.54	Professional	$281.84	$549.54	$1,412.54
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $363.08 / $562.34	Facility	$275.42	$363.08	$562.34
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $331.13 / $660.69	Professional	$269.15	$331.13	$660.69
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $891.25 / $1,445.44	Facility	$776.25	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $724.44 / $1,230.27	Professional	$309.03	$724.44	$1,230.27
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $446.68 / $6,309.57	Facility	$275.42	$446.68	$6,309.57
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $645.65 / $933.25	Professional	$512.86	$645.65	$933.25
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $588.84 / $8,317.64	Facility	$288.40	$588.84	$8,317.64
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $524.81 / $2,630.27	Professional	$295.12	$524.81	$2,630.27
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional	$32.36	$33.11	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $5,754.40 / $7,762.47	Facility	$588.84	$5,754.40	$7,762.47
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $645.65 / $1,148.15	Professional	$323.59	$645.65	$1,148.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $616.60 / $954.99	Professional	$338.84	$616.60	$954.99
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $16,595.87 / $16,595.87	Facility	$501.19	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $1,380.38 / $2,691.53	Professional	$309.03	$1,380.38	$2,691.53
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Professional	$1,047.13	$1,047.13	$1,047.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,096.48 / $1,479.11	Professional	$870.96	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $7,585.78 / $9,772.37	Facility	$4,570.88	$7,585.78	$9,772.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $426.58 / $1,122.02	Professional	$275.42	$426.58	$1,122.02

Wisconsin rates for HCPCS 42820