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 $37.15 / $85.11 / $204.17	Facility	$37.15	$85.11	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $25.12 / $37.15	Professional	$20.89	$25.12	$37.15
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $83.18 / $85.11	Facility	$66.07	$83.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $114.82	Professional	$12.30	$12.30	$114.82
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Facility	$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $100.00 / $158.49	Facility	$85.11	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $95.50	Professional	$35.48	$44.67	$95.50
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $61.66 / $181.97	Facility	$20.42	$61.66	$181.97
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $28.18 / $147.91	Facility	$20.42	$28.18	$147.91
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $19.50 / $57.54	Professional	$15.49	$19.50	$57.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $44.67 / $85.11	Professional	$30.90	$44.67	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $37.15 / $66.07	Facility	$35.48	$37.15	$66.07
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $44.67 / $87.10	Professional	$22.91	$44.67	$87.10
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $72.44 / $104.71	Professional	$40.74	$72.44	$104.71
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $147.91	Facility	$61.66	$61.66	$147.91
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.85	Professional	$15.14	$15.14	$15.85
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $478.63	Professional	$66.07	$66.07	$478.63
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $478.63 / $478.63	Professional	$91.20	$478.63	$478.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $24.55 / $37.15	Facility	$15.49	$24.55	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $19.50 / $54.95	Professional	$12.88	$19.50	$54.95

Wisconsin rates for HCPCS 85397