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 $2,951.21 / $5,495.41 / $14,454.40	Facility	$2,951.21	$5,495.41	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,570.40 / $2,951.21 / $5,495.41	Professional	$2,570.40	$2,951.21	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,964.78 / $19,054.61	Facility	$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $5,011.87 / $13,182.57	Professional	$2,691.53	$5,011.87	$13,182.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $7,943.28 / $12,882.50	Facility	$6,918.31	$7,943.28	$12,882.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $6,456.54 / $11,220.18	Professional	$2,884.03	$6,456.54	$11,220.18
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $8,912.51	Facility	$2,511.89	$3,467.37	$8,912.51
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,677.35 / $5,754.40 / $9,332.54	Professional	$4,677.35	$5,754.40	$9,332.54
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $3,388.44 / $7,585.78	Facility	$2,454.71	$3,388.44	$7,585.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,630.27 / $4,897.79 / $20,417.38	Professional	$2,630.27	$4,897.79	$20,417.38
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 $3,981.07 / $3,981.07 / $5,623.41	Facility	$3,981.07	$3,981.07	$5,623.41
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,951.21 / $5,370.32 / $10,000.00	Professional	$2,951.21	$5,370.32	$10,000.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,467.37 / $6,309.57 / $9,772.37	Professional	$3,467.37	$6,309.57	$9,772.37
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,786.30 / $50,118.72 / $50,118.72	Facility	$4,786.30	$50,118.72	$50,118.72
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,754.23 / $13,182.57 / $19,952.62	Professional	$2,754.23	$13,182.57	$19,952.62
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9,772.37 / $9,772.37 / $9,772.37	Professional	$9,772.37	$9,772.37	$9,772.37
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,511.38 / $10,715.19 / $13,489.63	Professional	$8,511.38	$10,715.19	$13,489.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $6,760.83 / $19,498.45	Facility	$2,041.74	$6,760.83	$19,498.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $3,981.07 / $10,715.19	Professional	$2,511.89	$3,981.07	$10,715.19

Wisconsin rates for HCPCS 43121