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 / $27.54	Facility	$7.08	$17.78	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.01 / $7.08	Professional	$3.98	$5.01	$7.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $17.38 / $17.78	Facility	$14.13	$17.38	$17.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.24 / $26.30	Professional	$3.24	$3.24	$26.30
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.47 / $4.47 / $4.47	Facility	$4.47	$4.47	$4.47
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 / $52.48	Facility	$5.75	$14.13	$52.48
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $6.17 / $112.20	Facility	$5.13	$6.17	$112.20
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $5.50 / $14.79	Professional	$3.89	$5.50	$14.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $22.91 / $64.57	Professional	$3.24	$22.91	$64.57
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 $4.90 / $10.72 / $18.62	Professional	$4.90	$10.72	$18.62
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $16.98 / $48.98	Professional	$8.91	$16.98	$48.98
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $112.20	Facility	$13.18	$13.18	$112.20
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 $13.80 / $13.80 / $53.70	Professional	$13.80	$13.80	$53.70
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.90 / $53.70	Professional	$26.30	$38.90	$53.70
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 / $5.37 / $14.79	Professional	$3.24	$5.37	$14.79

Wisconsin rates for HCPCS 85420