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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $3,019.95 / $6,456.54	Facility		$371.54	$3,019.95	$6,456.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $269.15 / $1,096.48	Professional		$114.82	$269.15	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $398.11 / $1,148.15	Professional		$169.82	$398.11	$1,148.15
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $151.36 / $234.42	Facility		$114.82	$151.36	$234.42
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $316.23 / $602.56	Professional		$251.19	$316.23	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $446.68 / $1,230.27	Professional		$154.88	$446.68	$1,230.27
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $295.12 / $2,754.23	Facility		$125.89	$295.12	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $467.74 / $794.33	Professional		$218.78	$467.74	$794.33
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $354.81 / $3,630.78	Facility		$131.83	$354.81	$3,630.78
Medica Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility	52	$446.68	$446.68	$446.68
Medica Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility	53	$109.65	$109.65	$109.65
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $630.96 / $2,137.96	Professional		$288.40	$630.96	$2,137.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $3,890.45 / $4,570.88	Facility		$288.40	$3,890.45	$4,570.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $467.74 / $954.99	Professional		$316.23	$467.74	$954.99
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $478.63 / $1,071.52	Professional		$199.53	$478.63	$1,071.52
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $2,884.03 / $2,884.03	Facility		$204.17	$2,884.03	$2,884.03
Quartz Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Quartz Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $1,548.82 / $2,290.87	Facility	52	$165.96	$1,548.82	$2,290.87
Quartz Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $389.05 / $575.44	Facility	53	$41.69	$389.05	$575.44
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $660.69 / $2,041.74	Professional		$162.18	$660.69	$2,041.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $1,122.02	Professional		$446.68	$446.68	$1,122.02
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $691.83 / $1,479.11	Professional		$446.68	$691.83	$1,479.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $3,311.31 / $6,606.93	Facility		$2,630.27	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $323.59 / $912.01	Professional		$134.90	$323.59	$912.01

Wisconsin rates for HCPCS 43235