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 $79.43 / $151.36 / $338.84	Facility	$79.43	$151.36	$338.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $295.12	Professional	$72.44	$97.72	$295.12
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 $91.20 / $169.82 / $407.38	Professional	$91.20	$169.82	$407.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $446.68	Facility	$239.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $204.17 / $316.23	Professional	$93.33	$204.17	$316.23
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $186.21 / $3,801.89	Facility	$85.11	$186.21	$3,801.89
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $204.17 / $269.15	Professional	$158.49	$204.17	$269.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $275.42 / $1,778.28	Facility	$87.10	$275.42	$1,778.28
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $173.78 / $549.54	Professional	$91.20	$173.78	$549.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $120.23	Professional	$32.36	$33.11	$120.23
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $891.25 / $2,344.23	Facility	$144.54	$891.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $234.42 / $323.59	Professional	$120.23	$234.42	$323.59
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $218.78 / $316.23	Professional	$109.65	$218.78	$316.23
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $1,288.25 / $1,288.25	Facility	$190.55	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $263.03 / $660.69	Professional	$100.00	$263.03	$660.69
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $239.88	Professional	$199.53	$199.53	$239.88
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $354.81 / $436.52	Professional	$199.53	$354.81	$436.52
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,584.89 / $2,187.76	Facility	$977.24	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $144.54 / $363.08	Professional	$83.18	$144.54	$363.08

Wisconsin rates for HCPCS 54235