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 $147.91 / $275.42 / $14,454.40	Facility	$147.91	$275.42	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $147.91 / $281.84	Professional	$125.89	$147.91	$281.84
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 $134.90 / $251.19 / $660.69	Professional	$134.90	$251.19	$660.69
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $407.38 / $645.65	Facility	$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $407.38 / $562.34	Professional	$147.91	$407.38	$562.34
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $269.15 / $3,311.31	Facility	$131.83	$269.15	$3,311.31
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $288.40 / $446.68	Professional	$234.42	$288.40	$446.68
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $275.42 / $4,897.79	Facility	$134.90	$275.42	$4,897.79
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $309.03 / $1,862.09	Professional	$141.25	$309.03	$1,862.09
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 $446.68 / $3,890.45 / $4,570.88	Facility	$446.68	$3,890.45	$4,570.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $338.84 / $645.65	Professional	$147.91	$338.84	$645.65
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $281.84 / $436.52	Professional	$158.49	$281.84	$436.52
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $4,897.79 / $4,897.79	Facility	$229.09	$4,897.79	$4,897.79
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $954.99 / $1,862.09	Professional	$165.96	$954.99	$1,862.09
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional	$489.78	$489.78	$489.78
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $676.08 / $812.83	Professional	$489.78	$676.08	$812.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,754.23 / $3,548.13 / $6,760.83	Facility	$2,754.23	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $263.03 / $549.54	Professional	$134.90	$263.03	$549.54

Wisconsin rates for HCPCS 43204