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 $91.20 / $1,905.46 / $6,309.57	Facility		$91.20	$1,905.46	$6,309.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $190.55 / $676.08	Professional		$69.18	$190.55	$676.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $323.59 / $977.24	Professional		$100.00	$323.59	$977.24
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $125.89	Facility		$66.07	$89.13	$125.89
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $251.19 / $371.54	Professional		$245.47	$251.19	$371.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $302.00 / $1,096.48	Professional		$89.13	$302.00	$1,096.48
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $229.09 / $2,754.23	Facility		$72.44	$229.09	$2,754.23
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $302.00 / $758.58	Professional		$131.83	$302.00	$758.58
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $263.03 / $2,951.21	Facility		$72.44	$263.03	$2,951.21
Medica Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility	52	$263.03	$263.03	$263.03
Medica Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility	53	$66.07	$66.07	$66.07
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $575.44 / $2,089.30	Professional		$208.93	$575.44	$2,089.30
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $2,951.21 / $3,235.94	Facility		$154.88	$2,951.21	$3,235.94
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $416.87 / $977.24	Professional		$186.21	$416.87	$977.24
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $338.84 / $1,071.52	Professional		$120.23	$338.84	$1,071.52
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $2,754.23 / $2,754.23	Facility		$123.03	$2,754.23	$2,754.23
Quartz Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $97.72 / $1,513.56 / $2,238.72	Facility	52	$97.72	$1,513.56	$2,238.72
Quartz Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $24.55 / $380.19 / $549.54	Facility	53	$24.55	$380.19	$549.54
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $645.65 / $1,995.26	Professional		$95.50	$645.65	$1,995.26
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $1,096.48	Professional		$263.03	$263.03	$1,096.48
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $389.05 / $1,445.44	Professional		$257.04	$389.05	$1,445.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $2,754.23 / $5,011.87	Facility		$2,041.74	$2,754.23	$5,011.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $263.03 / $588.84	Professional		$79.43	$263.03	$588.84

Wisconsin rates for HCPCS 45331