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 $1,148.15 / $2,344.23 / $14,454.40	Facility	$1,148.15	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,174.90 / $2,884.03	Professional	$1,096.48	$1,174.90	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,964.78 / $17,378.01	Facility	$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $2,187.76 / $5,495.41	Professional	$1,122.02	$2,187.76	$5,495.41
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $3,467.37 / $5,495.41	Facility	$2,951.21	$3,467.37	$5,495.41
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $3,630.78 / $4,168.69	Professional	$1,258.93	$3,630.78	$4,168.69
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $3,090.30 / $5,370.32	Facility	$1,148.15	$3,090.30	$5,370.32
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,818.38 / $3,548.13	Professional	$2,041.74	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $7,244.36 / $12,882.50	Facility	$1,348.96	$7,244.36	$12,882.50
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $2,041.74 / $7,762.47	Professional	$1,148.15	$2,041.74	$7,762.47
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,548.82	Professional	$32.36	$33.11	$1,548.82
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $8,511.38 / $9,120.11	Facility	$2,238.72	$8,511.38	$9,120.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $2,884.03 / $3,801.89	Professional	$1,584.89	$2,884.03	$3,801.89
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $2,630.27 / $4,786.30	Professional	$1,348.96	$2,630.27	$4,786.30
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,772.37 / $14,454.40 / $14,454.40	Facility	$9,772.37	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $5,623.41 / $9,772.37	Professional	$1,548.82	$5,623.41	$9,772.37
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,888.44 / $5,888.44 / $5,888.44	Professional	$5,888.44	$5,888.44	$5,888.44
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,370.32 / $6,760.83 / $8,511.38	Professional	$5,370.32	$6,760.83	$8,511.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,232.93 / $12,589.25	Facility	$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,949.84 / $5,011.87	Professional	$1,096.48	$1,949.84	$5,011.87

Wisconsin rates for HCPCS 53431