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 / $1,513.56 / $14,454.40	Facility	$794.33	$1,513.56	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $831.76 / $1,862.09	Professional	$691.83	$831.76	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,317.64 / $13,489.63	Facility	$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,412.54 / $3,311.31	Professional	$724.44	$1,412.54	$3,311.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $2,238.72 / $3,548.13	Facility	$1,905.46	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $2,344.23 / $2,691.53	Professional	$831.76	$2,344.23	$2,691.53
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $7,244.36 / $13,489.63	Facility	$794.33	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,819.70 / $2,290.87	Professional	$1,318.26	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $7,244.36 / $12,302.69	Facility	$870.96	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,318.26 / $3,890.45	Professional	$741.31	$1,318.26	$3,890.45
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 $1,445.44 / $8,511.38 / $9,120.11	Facility	$1,445.44	$8,511.38	$9,120.11
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 $5,370.32 / $8,128.31 / $8,128.31	Facility	$5,370.32	$8,128.31	$8,128.31
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $3,630.78 / $5,370.32	Professional	$1,023.29	$3,630.78	$5,370.32
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 $2,089.30 / $3,630.78 / $3,630.78	Professional	$2,089.30	$3,630.78	$3,630.78
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 $676.08 / $1,258.93 / $3,311.31	Professional	$676.08	$1,258.93	$3,311.31

Wisconsin rates for HCPCS 54535