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 $16.98 / $32.36 / $97.72	Facility	$16.98	$32.36	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $10.47 / $16.98	Professional	$7.41	$10.47	$16.98
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $39.81	Facility	$30.90	$38.90	$39.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $5.75 / $51.29	Professional	$5.75	$5.75	$51.29
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $46.77 / $74.13	Facility	$39.81	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $21.38 / $44.67	Professional	$16.98	$21.38	$44.67
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $28.84 / $67.61	Facility	$7.59	$28.84	$67.61
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $12.88 / $85.11	Facility	$7.59	$12.88	$85.11
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $8.71 / $25.12	Professional	$6.17	$8.71	$25.12
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $30.20 / $64.57	Professional	$11.48	$30.20	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $17.38 / $24.55	Facility	$15.49	$17.38	$24.55
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $16.60 / $40.74	Professional	$10.96	$16.60	$40.74
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $36.31 / $56.23	Professional	$19.05	$36.31	$56.23
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $85.11	Facility	$28.84	$28.84	$85.11
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $5.62 / $8.32	Professional	$5.50	$5.62	$8.32
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $30.90	Professional	$8.71	$8.71	$30.90
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $79.43	Professional	$8.71	$8.71	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $11.48 / $17.38	Facility	$6.46	$11.48	$17.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $8.71 / $25.12	Professional	$6.03	$8.71	$25.12

Wisconsin rates for HCPCS 85385