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 $67.61 / $158.49 / $177.83	Facility	$67.61	$158.49	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $67.61 / $93.33	Professional	$41.69	$67.61	$93.33
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $154.88 / $158.49	Facility	$123.03	$154.88	$158.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $229.09	Professional	$22.91	$22.91	$229.09
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $85.11	Facility	$57.54	$57.54	$85.11
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $77.62	Professional	$57.54	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $181.97 / $295.12	Facility	$158.49	$181.97	$295.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $97.72 / $177.83	Professional	$64.57	$97.72	$177.83
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $239.88 / $363.08	Facility	$63.10	$239.88	$363.08
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $380.19	Professional	$338.84	$338.84	$380.19
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $199.53	Facility	$51.29	$72.44	$199.53
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.88 / $288.40	Professional	$25.70	$33.88	$288.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $63.10 / $70.79	Professional	$50.12	$63.10	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $69.18 / $162.18	Facility	$61.66	$69.18	$162.18
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $91.20 / $162.18	Professional	$57.54	$91.20	$162.18
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $194.98	Professional	$100.00	$134.90	$194.98
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $269.15 / $269.15	Facility	$257.04	$269.15	$269.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $288.40 / $288.40	Professional	$69.18	$288.40	$288.40
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	$120.23	$120.23	$120.23
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $309.03 / $436.52	Professional	$165.96	$309.03	$436.52
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $45.71 / $123.03	Facility	$20.42	$45.71	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.88 / $93.33	Professional	$23.99	$33.88	$93.33

Wisconsin rates for HCPCS 81243