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 $7,585.78 / $13,803.84 / $13,803.84	Facility	$7,585.78	$13,803.84	$13,803.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,265.80 / $7,585.78 / $19,054.61	Professional	$4,265.80	$7,585.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $19,952.62	Professional	$851.14	$851.14	$19,952.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $16,218.10 / $25,703.96	Facility	$13,803.84	$16,218.10	$25,703.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,754.40 / $8,709.64 / $15,848.93	Professional	$5,754.40	$8,709.64	$15,848.93
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $22,908.68 / $31,622.78	Facility	$6,456.54	$22,908.68	$31,622.78
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $30,199.52 / $30,199.52 / $33,113.11	Professional	$30,199.52	$30,199.52	$33,113.11
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,495.41 / $6,760.83 / $17,782.79	Facility	$5,495.41	$6,760.83	$17,782.79
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,238.72 / $3,019.95 / $15,488.17	Professional	$2,238.72	$3,019.95	$15,488.17
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $5,011.87	Professional	$50.12	$64.57	$5,011.87
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,495.41 / $6,025.60 / $14,454.40	Facility	$5,495.41	$6,025.60	$14,454.40
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,011.87 / $8,128.31 / $14,125.38	Professional	$5,011.87	$8,128.31	$14,125.38
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,128.31 / $11,748.98 / $16,595.87	Professional	$8,128.31	$11,748.98	$16,595.87
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $10,000.00 / $23,988.33 / $23,988.33	Facility	$10,000.00	$23,988.33	$23,988.33
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,025.60 / $25,118.86 / $25,118.86	Professional	$6,025.60	$25,118.86	$25,118.86
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,715.19 / $10,715.19 / $10,715.19	Professional	$10,715.19	$10,715.19	$10,715.19
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14,454.40 / $27,542.29 / $38,018.94	Professional	$14,454.40	$27,542.29	$38,018.94
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,981.07 / $10,964.78	Facility	$1,819.70	$3,981.07	$10,964.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $3,019.95 / $7,585.78	Professional	$2,089.30	$3,019.95	$7,585.78

Wisconsin rates for HCPCS 81425