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 $794.33 / $1,548.82 / $14,454.40	Facility	$794.33	$1,548.82	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $851.14 / $3,162.28	Professional	$724.44	$851.14	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,317.64 / $13,182.57	Facility	$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,412.54 / $3,388.44	Professional	$741.31	$1,412.54	$3,388.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $2,238.72 / $3,630.78	Facility	$1,949.84	$2,238.72	$3,630.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $2,398.83 / $2,691.53	Professional	$891.25	$2,398.83	$2,691.53
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $7,244.36 / $13,489.63	Facility	$812.83	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,862.09 / $2,290.87	Professional	$1,318.26	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $8,511.38 / $15,848.93	Facility	$870.96	$8,511.38	$15,848.93
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,380.38 / $3,981.07	Professional	$758.58	$1,380.38	$3,981.07
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,000.00	Professional	$32.36	$33.11	$1,000.00
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $9,332.54 / $15,848.93	Facility	$1,479.11	$9,332.54	$15,848.93
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,862.09 / $2,454.71	Professional	$1,023.29	$1,862.09	$2,454.71
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,698.24 / $2,398.83	Professional	$870.96	$1,698.24	$2,398.83
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 $1,023.29 / $3,630.78 / $5,623.41	Professional	$1,023.29	$3,630.78	$5,623.41
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,041.74	Professional	$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $3,630.78 / $3,630.78	Professional	$1,995.26	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,585.78 / $12,022.64 / $14,454.40	Facility	$7,585.78	$12,022.64	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,318.26 / $3,311.31	Professional	$676.08	$1,318.26	$3,311.31

Wisconsin rates for HCPCS 54304