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 $1,513.56 / $2,818.38 / $14,454.40	Facility	$1,513.56	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,513.56 / $2,818.38	Professional	$1,318.26	$1,513.56	$2,818.38
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 $1,348.96 / $2,630.27 / $6,760.83	Professional	$1,348.96	$2,630.27	$6,760.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,548.13 / $4,168.69 / $6,606.93	Facility	$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $3,388.44 / $5,754.40	Professional	$1,479.11	$3,388.44	$5,754.40
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,778.28 / $8,912.51	Facility	$1,174.90	$1,778.28	$8,912.51
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $3,019.95 / $4,786.30	Professional	$2,398.83	$3,019.95	$4,786.30
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,862.09 / $6,309.57	Facility	$1,174.90	$1,862.09	$6,309.57
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $2,630.27 / $10,471.29	Professional	$1,479.11	$2,630.27	$10,471.29
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $85.11	Professional	$32.36	$33.11	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,818.38	Facility	$2,041.74	$2,041.74	$2,818.38
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,818.38 / $5,128.61	Professional	$1,513.56	$2,818.38	$5,128.61
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $3,311.31 / $5,128.61	Professional	$1,819.70	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $12,882.50 / $12,882.50	Facility	$2,454.71	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $6,760.83 / $10,232.93	Professional	$1,445.44	$6,760.83	$10,232.93
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,011.87 / $5,011.87 / $5,011.87	Professional	$5,011.87	$5,011.87	$5,011.87
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,570.88 / $5,754.40 / $6,918.31	Professional	$4,570.88	$5,754.40	$6,918.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $6,760.83 / $19,498.45	Facility	$1,995.26	$6,760.83	$19,498.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $2,089.30 / $5,370.32	Professional	$1,380.38	$2,089.30	$5,370.32

Wisconsin rates for HCPCS 43405