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 $457.09 / $851.14 / $1,047.13	Facility	$457.09	$851.14	$1,047.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $302.00 / $575.44	Professional	$251.19	$302.00	$575.44
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $1,023.29 / $1,047.13	Facility	$812.83	$1,023.29	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $1,318.26	Professional	$151.36	$151.36	$1,318.26
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $575.44	Facility	$380.19	$380.19	$575.44
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $512.86	Professional	$380.19	$380.19	$512.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,230.27 / $1,949.84	Facility	$1,047.13	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $575.44 / $1,202.26	Professional	$275.42	$575.44	$1,202.26
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $489.78 / $1,148.15	Facility	$346.74	$489.78	$1,148.15
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $489.78 / $1,348.96	Facility	$346.74	$489.78	$1,348.96
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $229.09 / $1,174.90	Professional	$85.11	$229.09	$1,174.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $120.23	Professional	$54.95	$70.79	$120.23
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $457.09 / $588.84	Facility	$169.82	$457.09	$588.84
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $616.60 / $1,071.52	Professional	$213.80	$616.60	$1,071.52
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $912.01 / $1,288.25	Professional	$288.40	$912.01	$1,288.25
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,819.70 / $1,819.70	Facility	$758.58	$1,819.70	$1,819.70
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,905.46 / $1,905.46	Professional	$457.09	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $812.83	Professional	$114.82	$114.82	$812.83
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $446.68 / $2,089.30	Professional	$114.82	$446.68	$2,089.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $302.00 / $831.76	Facility	$138.04	$302.00	$831.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $229.09 / $457.09	Professional	$91.20	$229.09	$457.09

Wisconsin rates for HCPCS 81295