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 $1,513.56 / $4,073.80 / $6,165.95	Facility		$1,513.56	$4,073.80	$6,165.95
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	52	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $371.54 / $1,862.09	Professional		$147.91	$371.54	$1,862.09
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 $204.17 / $1,047.13 / $4,265.80	Professional		$204.17	$1,047.13	$4,265.80
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $295.12	Facility		$144.54	$190.55	$295.12
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,122.02 / $2,089.30	Professional		$870.96	$1,122.02	$2,089.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $3,388.44 / $5,495.41	Facility		$2,951.21	$3,388.44	$5,495.41
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $630.96 / $3,981.07	Professional		$194.98	$630.96	$3,981.07
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $977.24 / $3,311.31	Facility		$154.88	$977.24	$3,311.31
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $630.96 / $2,754.23	Professional		$275.42	$630.96	$2,754.23
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $1,148.15 / $4,265.80	Facility		$162.18	$1,148.15	$4,265.80
Medica Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility	52	$549.54	$549.54	$549.54
Medica Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility	53	$138.04	$138.04	$138.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $1,995.26 / $7,943.28	Professional		$223.87	$1,995.26	$7,943.28
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 $346.74 / $3,890.45 / $4,570.88	Facility		$346.74	$3,890.45	$4,570.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,288.25 / $3,090.30	Professional		$398.11	$1,288.25	$3,090.30
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $1,174.90 / $3,890.45	Professional		$245.47	$1,174.90	$3,890.45
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $4,897.79 / $4,897.79	Facility		$257.04	$4,897.79	$4,897.79
Quartz Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Quartz Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $2,630.27 / $3,890.45	Facility	52	$204.17	$2,630.27	$3,890.45
Quartz Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $660.69 / $977.24	Facility	53	$51.29	$660.69	$977.24
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $2,238.72 / $7,413.10	Professional		$204.17	$2,238.72	$7,413.10
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $4,265.80	Professional		$549.54	$549.54	$4,265.80
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $758.58 / $5,495.41	Professional		$549.54	$758.58	$5,495.41
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 $165.96 / $549.54 / $3,548.13	Professional		$165.96	$549.54	$3,548.13

Wisconsin rates for HCPCS 43249