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 $426.58 / $870.96 / $14,454.40	Facility	$426.58	$870.96	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $436.52 / $1,071.52	Professional	$407.38	$436.52	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,786.30 / $8,709.64	Facility	$3,311.31	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $812.83 / $2,041.74	Professional	$416.87	$812.83	$2,041.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $1,288.25 / $2,041.74	Facility	$1,096.48	$1,288.25	$2,041.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $1,348.96 / $1,548.82	Professional	$478.63	$1,348.96	$1,548.82
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $3,090.30 / $5,370.32	Facility	$426.58	$3,090.30	$5,370.32
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,047.13 / $1,318.26	Professional	$758.58	$1,047.13	$1,318.26
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $7,244.36 / $12,302.69	Facility	$467.74	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $758.58 / $2,884.03	Professional	$426.58	$758.58	$2,884.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $575.44	Professional	$32.36	$33.11	$575.44
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $8,511.38 / $9,120.11	Facility	$831.76	$8,511.38	$9,120.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $1,071.52 / $1,412.54	Professional	$575.44	$1,071.52	$1,412.54
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $1,000.00 / $1,778.28	Professional	$512.86	$1,000.00	$1,778.28
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,309.57 / $9,332.54 / $9,332.54	Facility	$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $2,089.30 / $3,090.30	Professional	$588.84	$2,089.30	$3,090.30
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $2,187.76	Professional	$2,187.76	$2,187.76	$2,187.76
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,511.89 / $3,090.30	Professional	$1,995.26	$2,511.89	$3,090.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,232.93 / $12,022.64	Facility	$6,606.93	$10,232.93	$12,022.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $707.95 / $1,819.70	Professional	$407.38	$707.95	$1,819.70

Wisconsin rates for HCPCS 53240