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 $1,000.00 / $1,905.46 / $14,454.40	Facility	$1,000.00	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,047.13 / $2,344.23	Professional	$851.14	$1,047.13	$2,344.23
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 $912.01 / $1,778.28 / $4,466.84	Professional	$912.01	$1,778.28	$4,466.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $2,818.38 / $4,466.84	Facility	$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $2,951.21 / $3,388.44	Professional	$1,122.02	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $4,168.69 / $7,413.10	Facility	$1,000.00	$4,168.69	$7,413.10
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $2,290.87 / $2,884.03	Professional	$1,659.59	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,096.48 / $6,918.31 / $12,302.69	Facility	$1,096.48	$6,918.31	$12,302.69
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,819.70 / $4,897.79	Professional	$954.99	$1,819.70	$4,897.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,318.26	Professional	$32.36	$33.11	$1,318.26
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $8,511.38 / $9,120.11	Facility	$1,949.84	$8,511.38	$9,120.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $2,344.23 / $3,090.30	Professional	$1,258.93	$2,344.23	$3,090.30
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $2,137.96 / $3,019.95	Professional	$1,096.48	$2,137.96	$3,019.95
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $5,754.40 / $5,754.40	Facility	$3,715.35	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $4,570.88 / $8,511.38	Professional	$1,258.93	$4,570.88	$8,511.38
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,511.89	Professional	$2,511.89	$2,511.89	$2,511.89
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $4,466.84 / $4,570.88	Professional	$2,691.53	$4,466.84	$4,570.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,623.41 / $10,000.00 / $12,022.64	Facility	$5,623.41	$10,000.00	$12,022.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,659.59 / $4,073.80	Professional	$870.96	$1,659.59	$4,073.80

Wisconsin rates for HCPCS 54385