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 $12.02 / $22.91 / $28.18	Facility	$12.02	$22.91	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $12.02	Professional	$7.08	$8.91	$12.02
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $27.54 / $28.18	Facility	$21.88	$27.54	$28.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $40.74	Professional	$5.01	$5.01	$40.74
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.92 / $6.92 / $6.92	Facility	$6.92	$6.92	$6.92
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $32.36 / $52.48	Facility	$28.18	$32.36	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $14.45 / $31.62	Professional	$11.48	$14.45	$31.62
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $22.39 / $81.28	Facility	$9.12	$22.39	$81.28
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $9.55 / $114.82	Facility	$7.94	$9.55	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $8.32 / $22.91	Professional	$6.03	$8.32	$22.91
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $32.36 / $64.57	Professional	$5.01	$32.36	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $28.84	Facility	$12.30	$12.30	$28.84
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $16.60 / $28.84	Professional	$7.59	$16.60	$28.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $25.70 / $77.62	Professional	$13.18	$25.70	$77.62
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $114.82	Facility	$20.42	$20.42	$114.82
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $6.76 / $10.00	Professional	$5.37	$6.76	$10.00
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $21.88	Professional	$10.47	$10.47	$21.88
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $40.74 / $63.10	Professional	$10.47	$40.74	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.13 / $9.12 / $12.30	Facility	$5.13	$9.12	$12.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $8.13 / $22.91	Professional	$4.27	$8.13	$22.91

Wisconsin rates for HCPCS 85421