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 $10.00 / $18.62 / $22.91	Facility	$10.00	$18.62	$22.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.08 / $10.00	Professional	$6.03	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $22.39 / $22.91	Facility	$18.20	$22.39	$22.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $4.17 / $33.88	Professional	$4.17	$4.17	$33.88
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $5.75 / $5.75	Facility	$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $43.65	Facility	$23.44	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $11.75 / $26.30	Professional	$9.55	$11.75	$26.30
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $18.20 / $67.61	Facility	$7.41	$18.20	$67.61
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $7.94 / $100.00	Facility	$6.61	$7.94	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $6.92 / $19.05	Professional	$4.90	$6.92	$19.05
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $16.60 / $64.57	Professional	$7.24	$16.60	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $23.99	Facility	$10.00	$10.00	$23.99
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $13.80 / $23.99	Professional	$6.31	$13.80	$23.99
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $21.38 / $35.48	Professional	$10.96	$21.38	$35.48
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $16.98 / $100.00	Facility	$16.98	$16.98	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $5.50 / $8.13	Professional	$4.47	$5.50	$8.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $17.78	Professional	$8.71	$8.71	$17.78
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $33.88 / $51.29	Professional	$8.71	$33.88	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.17 / $7.41 / $10.00	Facility	$4.17	$7.41	$10.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $6.76 / $19.05	Professional	$3.55	$6.76	$19.05

Wisconsin rates for HCPCS 85360