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 $346.74 / $645.65 / $794.33	Facility	$346.74	$645.65	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $245.47 / $436.52	Professional	$204.17	$245.47	$436.52
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $776.25 / $794.33	Facility	$630.96	$776.25	$794.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $1,174.90	Professional	$117.49	$117.49	$1,174.90
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $389.05	Facility	$288.40	$288.40	$389.05
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $323.59	Professional	$288.40	$288.40	$323.59
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $933.25 / $1,479.11	Facility	$794.33	$933.25	$1,479.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $436.52 / $912.01	Professional	$229.09	$436.52	$912.01
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $1,230.27 / $1,862.09	Facility	$323.59	$1,230.27	$1,862.09
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,949.84	Professional	$1,737.80	$1,737.80	$1,949.84
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $371.54 / $1,023.29	Facility	$263.03	$371.54	$1,023.29
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $173.78 / $891.25	Professional	$131.83	$173.78	$891.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $85.11	Professional	$50.12	$64.57	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $346.74 / $446.68	Facility	$316.23	$346.74	$446.68
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $467.74 / $831.76	Professional	$288.40	$467.74	$831.76
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $691.83 / $1,000.00	Professional	$501.19	$691.83	$1,000.00
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $1,380.38 / $1,380.38	Facility	$588.84	$1,380.38	$1,380.38
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $1,445.44 / $1,445.44	Professional	$346.74	$1,445.44	$1,445.44
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $616.60	Professional	$218.78	$218.78	$616.60
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $1,584.89	Professional	$218.78	$218.78	$1,584.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $234.42 / $630.96	Facility	$104.71	$234.42	$630.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $436.52	Professional	$123.03	$173.78	$436.52

Wisconsin rates for HCPCS 81225