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 / $4,168.69 / $14,454.40	Facility	$2,238.72	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,905.46 / $2,238.72 / $4,168.69	Professional	$1,905.46	$2,238.72	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,317.64 / $14,125.38	Facility	$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $3,801.89 / $10,000.00	Professional	$1,995.26	$3,801.89	$10,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,128.61 / $6,025.60 / $9,549.93	Facility	$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $4,897.79 / $8,511.38	Professional	$2,137.96	$4,897.79	$8,511.38
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $2,818.38 / $8,912.51	Facility	$1,949.84	$2,818.38	$8,912.51
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,467.37 / $4,365.16 / $6,918.31	Professional	$3,467.37	$4,365.16	$6,918.31
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $2,754.23 / $6,309.57	Facility	$1,905.46	$2,754.23	$6,309.57
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $3,630.78 / $15,135.61	Professional	$1,995.26	$3,630.78	$15,135.61
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 $2,951.21 / $2,951.21 / $4,168.69	Facility	$2,951.21	$2,951.21	$4,168.69
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $4,073.80 / $7,585.78	Professional	$2,187.76	$4,073.80	$7,585.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,570.40 / $4,570.88 / $7,079.46	Professional	$2,570.40	$4,570.88	$7,079.46
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $19,054.61 / $19,054.61	Facility	$3,630.78	$19,054.61	$19,054.61
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $10,000.00 / $14,791.08	Professional	$2,089.30	$10,000.00	$14,791.08
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7,413.10 / $7,413.10 / $7,413.10	Professional	$7,413.10	$7,413.10	$7,413.10
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $7,943.28 / $10,000.00	Professional	$6,309.57	$7,943.28	$10,000.00
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 $1,949.84 / $2,951.21 / $7,943.28	Professional	$1,949.84	$2,951.21	$7,943.28

Wisconsin rates for HCPCS 43634