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 $1,122.02 / $2,089.30 / $14,454.40	Facility	$1,122.02	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,096.48 / $2,041.74	Professional	$933.25	$1,096.48	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,786.30 / $7,585.78	Facility	$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,905.46 / $4,897.79	Professional	$977.24	$1,905.46	$4,897.79
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $3,090.30 / $4,897.79	Facility	$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $2,511.89 / $4,265.80	Professional	$1,047.13	$2,511.89	$4,265.80
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,318.26 / $8,912.51	Facility	$954.99	$1,318.26	$8,912.51
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $2,187.76 / $3,311.31	Professional	$1,778.28	$2,187.76	$3,311.31
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,380.38 / $8,317.64	Facility	$954.99	$1,380.38	$8,317.64
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,778.28 / $7,585.78	Professional	$1,023.29	$1,778.28	$7,585.78
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 $2,041.74 / $5,754.40 / $7,762.47	Facility	$2,041.74	$5,754.40	$7,762.47
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $2,041.74 / $3,715.35	Professional	$1,122.02	$2,041.74	$3,715.35
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $2,041.74 / $3,235.94	Professional	$1,148.15	$2,041.74	$3,235.94
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $8,128.31 / $8,128.31	Facility	$1,737.80	$8,128.31	$8,128.31
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $4,897.79 / $7,413.10	Professional	$1,047.13	$4,897.79	$7,413.10
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $3,715.35	Professional	$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,090.30 / $3,890.45 / $5,128.61	Professional	$3,090.30	$3,890.45	$5,128.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,073.80 / $7,585.78 / $9,120.11	Facility	$4,073.80	$7,585.78	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,513.56 / $3,890.45	Professional	$977.24	$1,513.56	$3,890.45

Wisconsin rates for HCPCS 43420