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 $42.66 / $81.28 / $100.00	Facility	$42.66	$81.28	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.88 / $81.28	Professional	$26.92	$33.88	$81.28
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $97.72 / $100.00	Facility	$79.43	$97.72	$100.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $147.91	Professional	$14.79	$14.79	$147.91
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $54.95	Facility	$36.31	$36.31	$54.95
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $48.98	Professional	$36.31	$36.31	$48.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $186.21	Facility	$100.00	$117.49	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $63.10 / $114.82	Professional	$41.69	$63.10	$114.82
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $151.36 / $229.09	Facility	$40.74	$151.36	$229.09
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $245.47	Professional	$218.78	$218.78	$245.47
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $46.77 / $128.82	Facility	$33.11	$46.77	$128.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $21.88 / $112.20	Professional	$16.60	$21.88	$112.20
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $70.79	Professional	$36.31	$54.95	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $43.65 / $104.71	Facility	$39.81	$43.65	$104.71
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $58.88 / $104.71	Professional	$36.31	$58.88	$104.71
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $123.03	Professional	$64.57	$87.10	$123.03
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $173.78 / $173.78	Facility	$117.49	$173.78	$173.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $181.97 / $181.97	Professional	$43.65	$181.97	$181.97
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	$77.62	$77.62	$77.62
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $199.53 / $275.42	Professional	$107.15	$199.53	$275.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $29.51 / $79.43	Facility	$13.18	$29.51	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $21.88 / $54.95	Professional	$15.49	$21.88	$54.95

Wisconsin rates for HCPCS 81242