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 $389.05 / $724.44 / $891.25	Facility	$389.05	$724.44	$891.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $275.42 / $407.38	Professional	$229.09	$275.42	$407.38
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $870.96 / $891.25	Facility	$691.83	$870.96	$891.25
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $1,288.25	Professional	$128.82	$128.82	$1,288.25
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $436.52	Facility	$323.59	$323.59	$436.52
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $354.81	Professional	$323.59	$323.59	$354.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $1,047.13 / $1,659.59	Facility	$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $489.78 / $1,023.29	Professional	$257.04	$489.78	$1,023.29
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $1,380.38 / $2,089.30	Facility	$354.81	$1,380.38	$2,089.30
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $2,137.96	Professional	$1,949.84	$1,949.84	$2,137.96
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $416.87 / $1,148.15	Facility	$295.12	$416.87	$1,148.15
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $199.53 / $1,000.00	Professional	$144.54	$199.53	$1,000.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $302.00	Professional	$54.95	$70.79	$302.00
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $389.05 / $501.19	Facility	$346.74	$389.05	$501.19
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $524.81 / $912.01	Professional	$323.59	$524.81	$912.01
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $758.58 / $1,096.48	Professional	$562.34	$758.58	$1,096.48
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $1,548.82 / $1,548.82	Facility	$645.65	$1,548.82	$1,548.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $1,621.81 / $1,621.81	Professional	$389.05	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $691.83	Professional	$251.19	$251.19	$691.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $1,778.28	Professional	$251.19	$251.19	$1,778.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $257.04 / $707.95	Facility	$117.49	$257.04	$707.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $199.53 / $489.78	Professional	$134.90	$199.53	$489.78

Wisconsin rates for HCPCS 81235