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 $208.93 / $389.05 / $478.63	Facility	$208.93	$389.05	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $144.54 / $234.42	Professional	$128.82	$144.54	$234.42
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $467.74 / $478.63	Facility	$371.54	$467.74	$478.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $707.95	Professional	$74.13	$74.13	$707.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $562.34 / $891.25	Facility	$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $537.03	Professional	$158.49	$257.04	$537.03
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $851.14 / $1,288.25	Facility	$190.55	$851.14	$1,288.25
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,148.15	Professional	$1,023.29	$1,023.29	$1,148.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $218.78 / $602.56	Facility	$154.88	$218.78	$602.56
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $562.34	Professional	$85.11	$123.03	$562.34
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $162.18	Professional	$50.12	$64.57	$162.18
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $208.93 / $263.03	Facility	$186.21	$208.93	$263.03
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $288.40 / $489.78	Professional	$173.78	$288.40	$489.78
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $407.38 / $602.56	Professional	$302.00	$407.38	$602.56
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $812.83 / $812.83	Facility	$346.74	$812.83	$812.83
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $870.96 / $870.96	Professional	$208.93	$870.96	$870.96
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $371.54	Professional	$154.88	$154.88	$371.54
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $588.84 / $933.25	Professional	$154.88	$588.84	$933.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $138.04 / $371.54	Facility	$61.66	$138.04	$371.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $120.23 / $263.03	Professional	$72.44	$120.23	$263.03

Wisconsin rates for HCPCS 81264