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 $85.11 / $165.96 / $1,905.46	Facility	$85.11	$165.96	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $208.93	Professional	$81.28	$109.65	$208.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $1,584.89 / $1,584.89	Facility	$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $190.55 / $446.68	Professional	$97.72	$190.55	$446.68
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $331.13 / $524.81	Facility	$281.84	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $229.09 / $389.05	Professional	$95.50	$229.09	$389.05
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $3,162.28	Facility	$85.11	$131.83	$3,162.28
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $309.03	Professional	$154.88	$213.80	$309.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $138.04 / $1,513.56	Facility	$83.18	$138.04	$1,513.56
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $194.98 / $912.01	Professional	$104.71	$194.98	$912.01
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $107.15	Professional	$32.36	$33.11	$107.15
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $891.25 / $2,344.23	Facility	$158.49	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $229.09 / $354.81	Professional	$131.83	$229.09	$354.81
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $239.88 / $363.08	Professional	$123.03	$239.88	$363.08
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $1,949.84 / $1,949.84	Facility	$204.17	$1,949.84	$1,949.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $416.87 / $912.01	Professional	$107.15	$416.87	$912.01
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $288.40	Professional	$213.80	$213.80	$288.40
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $371.54 / $524.81	Professional	$213.80	$371.54	$524.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,584.89 / $2,187.76	Facility	$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $158.49 / $363.08	Professional	$93.33	$158.49	$363.08

Wisconsin rates for HCPCS 54230