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 $87.10 / $213.80 / $1,905.46	Facility	$87.10	$213.80	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $173.78 / $309.03	Professional	$77.62	$173.78	$309.03
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 $109.65 / $257.04 / $758.58	Professional	$109.65	$257.04	$758.58
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $588.84 / $954.99	Facility	$512.86	$588.84	$954.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $295.12 / $741.31	Professional	$102.33	$295.12	$741.31
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $194.98 / $2,818.38	Facility	$81.28	$194.98	$2,818.38
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $269.15 / $524.81	Professional	$147.91	$269.15	$524.81
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $199.53 / $4,265.80	Facility	$81.28	$199.53	$4,265.80
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $371.54 / $1,412.54	Professional	$199.53	$371.54	$1,412.54
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 $2,818.38 / $4,265.80 / $4,570.88	Facility	$2,818.38	$4,265.80	$4,570.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $309.03 / $575.44	Professional	$181.97	$309.03	$575.44
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $295.12 / $645.65	Professional	$123.03	$295.12	$645.65
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $501.19 / $741.31	Facility	$138.04	$501.19	$741.31
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $354.81 / $1,380.38	Professional	$104.71	$354.81	$1,380.38
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $724.44	Professional	$295.12	$295.12	$724.44
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $602.56 / $954.99	Professional	$295.12	$602.56	$954.99
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $3,311.31 / $6,606.93	Facility	$2,398.83	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $218.78 / $588.84	Professional	$91.20	$218.78	$588.84

Wisconsin rates for HCPCS 43197