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 $2,238.72 / $2,238.72 / $17,782.79	Facility	$2,238.72	$2,238.72	$17,782.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $2,238.72 / $3,630.78	Professional	$1,949.84	$2,238.72	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,317.64 / $13,803.84	Facility	$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $3,890.45 / $10,000.00	Professional	$2,041.74	$3,890.45	$10,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,309.57 / $7,244.36 / $11,748.98	Facility	$6,309.57	$7,244.36	$11,748.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $7,762.47 / $10,232.93	Professional	$2,089.30	$7,762.47	$10,232.93
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $3,235.94 / $9,332.54	Facility	$1,995.26	$3,235.94	$9,332.54
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,918.31 / $6,918.31 / $6,918.31	Professional	$6,918.31	$6,918.31	$6,918.31
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $2,884.03 / $7,585.78	Facility	$1,949.84	$2,884.03	$7,585.78
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $3,801.89 / $15,135.61	Professional	$2,187.76	$3,801.89	$15,135.61
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $380.19 / $2,344.23	Professional	$32.36	$380.19	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7,079.46 / $7,079.46 / $7,943.28	Professional	$7,079.46	$7,079.46	$7,943.28
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $4,265.80 / $6,456.54	Professional	$2,398.83	$4,265.80	$6,456.54
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $5,011.87 / $35,481.34	Facility	$3,311.31	$5,011.87	$35,481.34
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $9,332.54 / $14,125.38	Professional	$1,995.26	$9,332.54	$14,125.38
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,709.64 / $8,709.64 / $8,709.64	Professional	$8,709.64	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,709.64 / $12,302.69 / $13,489.63	Professional	$8,709.64	$12,302.69	$13,489.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $6,760.83 / $19,498.45	Facility	$2,290.87	$6,760.83	$19,498.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $3,090.30 / $8,709.64	Professional	$2,089.30	$3,090.30	$8,709.64

Wisconsin rates for HCPCS 43496