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 $14,454.40 / $18,197.01 / $33,113.11	Facility	$14,454.40	$18,197.01	$33,113.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $9,549.93 / $15,135.61	Professional	$1,000.00	$9,549.93	$15,135.61
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10,232.93 / $12,882.50 / $13,182.57	Facility	$10,232.93	$12,882.50	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,786.30 / $4,786.30 / $47,863.01	Professional	$4,786.30	$4,786.30	$47,863.01
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,120.11 / $9,120.11 / $9,120.11	Facility	$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33,113.11 / $38,904.51 / $61,659.50	Facility	$33,113.11	$38,904.51	$61,659.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $17,378.01 / $37,153.52	Professional	$6,309.57	$17,378.01	$37,153.52
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $23,988.33 / $67,608.30	Facility	$794.33	$23,988.33	$67,608.30
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $72,443.60 / $72,443.60 / $79,432.82	Professional	$72,443.60	$72,443.60	$79,432.82
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $11,220.18 / $41,686.94	Facility	$794.33	$11,220.18	$41,686.94
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,011.87 / $7,244.36 / $33,113.11	Professional	$5,011.87	$7,244.36	$33,113.11
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $10,964.78	Professional	$54.95	$70.79	$10,964.78
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $12,882.50 / $14,454.40 / $34,673.69	Facility	$12,882.50	$14,454.40	$34,673.69
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $19,054.61 / $28,183.83	Professional	$1,380.38	$19,054.61	$28,183.83
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $18,620.87 / $28,183.83 / $39,810.72	Professional	$18,620.87	$28,183.83	$39,810.72
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $23,988.33 / $23,988.33 / $57,543.99	Facility	$23,988.33	$23,988.33	$57,543.99
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $60,255.96 / $60,255.96	Professional	$6,309.57	$60,255.96	$60,255.96
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12,022.64 / $12,022.64 / $25,703.96	Professional	$12,022.64	$12,022.64	$25,703.96
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12,022.64 / $12,022.64 / $66,069.34	Professional	$12,022.64	$12,022.64	$66,069.34
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,025.60 / $9,549.93 / $14,454.40	Facility	$6,025.60	$9,549.93	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,011.87 / $7,244.36 / $19,952.62	Professional	$5,011.87	$7,244.36	$19,952.62

Wisconsin rates for HCPCS 81416