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 $11.48 / $60.26 / $204.17	Facility	$11.48	$60.26	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $7.08 / $10.72	Professional	$5.01	$7.08	$10.72
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $20.89 / $21.38	Facility	$16.60	$20.89	$21.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $3.80 / $30.90	Professional	$3.80	$3.80	$30.90
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.57 / $4.57 / $4.57	Facility	$4.57	$4.57	$4.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $25.12 / $40.74	Facility	$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $11.48 / $23.99	Professional	$9.12	$11.48	$23.99
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.92 / $16.98 / $61.66	Facility	$6.92	$16.98	$61.66
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $7.41 / $100.00	Facility	$6.17	$7.41	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $6.46 / $17.38	Professional	$4.68	$6.46	$17.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $27.54 / $64.57	Professional	$3.89	$27.54	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $21.88	Facility	$9.33	$9.33	$21.88
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $12.59 / $21.88	Professional	$5.75	$12.59	$21.88
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $19.50 / $57.54	Professional	$10.23	$19.50	$57.54
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $100.00	Facility	$15.49	$15.49	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $5.01 / $7.59	Professional	$4.07	$5.01	$7.59
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $16.60 / $38.02	Professional	$16.60	$16.60	$38.02
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.02 / $42.66	Professional	$30.90	$38.02	$42.66
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.89 / $6.92 / $18.62	Facility	$3.89	$6.92	$18.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $6.17 / $17.38	Professional	$3.89	$6.17	$17.38

Wisconsin rates for HCPCS 85460