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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $85.11 / $269.15	Facility		$16.60	$85.11	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $30.90 / $87.10	Professional		$13.80	$30.90	$87.10
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.89 / $57.54 / $177.83	Professional	50	$20.89	$57.54	$177.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.22 / $29.51 / $53.70	Professional	52	$16.22	$29.51	$53.70
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $6.46 / $6.46 / $16.98	Professional	53	$6.46	$6.46	$16.98
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 $13.49 / $29.51 / $69.18	Professional		$13.49	$29.51	$69.18
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.42 / $44.67 / $102.33	Professional	50	$20.42	$44.67	$102.33
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $50.12 / $81.28	Facility		$43.65	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $45.71 / $53.70	Professional		$16.60	$45.71	$53.70
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $2,630.27 / $5,128.61	Facility		$15.85	$2,630.27	$5,128.61
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $45.71	Professional		$28.18	$38.90	$45.71
DeanCare Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $41.69 / $58.88 / $69.18	Professional	50	$41.69	$58.88	$69.18
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $190.55 / $1,778.28	Facility		$18.20	$190.55	$1,778.28
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $22.91 / $67.61	Professional		$14.13	$22.91	$67.61
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $933.25 / $2,344.23	Facility		$831.76	$933.25	$2,344.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $39.81 / $61.66	Professional		$20.42	$39.81	$61.66
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $40.74 / $60.26	Professional		$22.39	$40.74	$60.26
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $97.72	Facility		$40.74	$40.74	$97.72
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $67.61 / $112.20	Professional		$21.38	$67.61	$112.20
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $64.57 / $91.20	Professional		$38.02	$64.57	$91.20
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 $14.45 / $31.62 / $81.28	Professional		$14.45	$31.62	$81.28
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43

Wisconsin rates for HCPCS 69209