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 $7.08 / $17.78 / $154.88	Facility	$7.08	$17.78	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.62 / $7.08	Professional	$3.98	$5.62	$7.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $17.38 / $17.78	Facility	$13.80	$17.38	$17.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $3.16 / $25.70	Professional	$3.16	$3.16	$25.70
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $4.27 / $4.27	Facility	$4.27	$4.27	$4.27
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $20.89 / $33.88	Facility	$18.20	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $9.33 / $20.42	Professional	$7.41	$9.33	$20.42
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $14.13 / $51.29	Facility	$5.75	$14.13	$51.29
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $6.03 / $34.67	Facility	$5.13	$6.03	$34.67
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $5.37 / $14.79	Professional	$3.80	$5.37	$14.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $32.36 / $85.11	Professional	$6.46	$32.36	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $18.62	Facility	$7.76	$7.76	$18.62
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $10.72 / $18.20	Professional	$4.79	$10.72	$18.20
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $16.22 / $23.99	Professional	$8.32	$16.22	$23.99
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $79.43	Facility	$12.88	$12.88	$79.43
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.47 / $4.27 / $6.31	Professional	$3.47	$4.27	$6.31
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $6.61 / $13.80	Professional	$6.61	$6.61	$13.80
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $6.61 / $45.71	Professional	$6.61	$6.61	$45.71
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.24 / $5.75 / $7.76	Facility	$3.24	$5.75	$7.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $5.13 / $14.45	Professional	$3.24	$5.13	$14.45

Wisconsin rates for HCPCS 85004