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 $758.58 / $1,445.44 / $14,454.40	Facility	$758.58	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $776.25 / $1,778.28	Professional	$645.65	$776.25	$1,778.28
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 $691.83 / $1,348.96 / $3,162.28	Professional	$691.83	$1,348.96	$3,162.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $2,137.96 / $3,388.44	Facility	$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $2,238.72 / $2,570.40	Professional	$776.25	$2,238.72	$2,570.40
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $4,786.30 / $8,912.51	Facility	$758.58	$4,786.30	$8,912.51
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,737.80 / $2,187.76	Professional	$1,258.93	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $7,244.36 / $12,302.69	Facility	$812.83	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,288.25 / $3,715.35	Professional	$707.95	$1,288.25	$3,715.35
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $954.99	Professional	$32.36	$33.11	$954.99
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $8,511.38 / $9,120.11	Facility	$1,380.38	$8,511.38	$9,120.11
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,778.28 / $2,290.87	Professional	$954.99	$1,778.28	$2,290.87
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,621.81 / $2,290.87	Professional	$831.76	$1,621.81	$2,290.87
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 $954.99 / $3,467.37 / $6,025.60	Professional	$954.99	$3,467.37	$6,025.60
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Professional	$1,905.46	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $3,388.44 / $3,467.37	Professional	$1,949.84	$3,388.44	$3,467.37
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,606.93 / $10,232.93 / $12,022.64	Facility	$6,606.93	$10,232.93	$12,022.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $1,202.26 / $3,090.30	Professional	$630.96	$1,202.26	$3,090.30

Wisconsin rates for HCPCS 54420