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 $10.96 / $25.70 / $100.00	Facility	$10.96	$25.70	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $7.08 / $10.96	Professional	$6.03	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $25.12 / $25.70	Facility	$19.95	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $33.11	Professional	$3.72	$3.72	$33.11
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $6.17 / $6.17	Facility	$6.17	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $30.20 / $48.98	Facility	$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $13.49 / $29.51	Professional	$10.72	$13.49	$29.51
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.89 / $18.62 / $52.48	Facility	$5.89	$18.62	$52.48
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.89 / $8.51 / $100.00	Facility	$5.89	$8.51	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $5.62 / $16.98	Professional	$4.79	$5.62	$16.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $32.36 / $85.11	Professional	$4.68	$32.36	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $11.22 / $19.05	Facility	$10.23	$11.22	$19.05
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $12.88 / $26.30	Professional	$7.08	$12.88	$26.30
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $23.99 / $33.88	Professional	$12.30	$23.99	$33.88
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $100.00	Facility	$18.62	$18.62	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.47 / $6.46	Professional	$4.37	$4.47	$6.46
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $24.55	Professional	$19.95	$19.95	$24.55
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $26.92 / $51.29	Professional	$24.55	$26.92	$51.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.68 / $7.41 / $11.22	Facility	$4.68	$7.41	$11.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $5.62 / $16.98	Professional	$3.89	$5.62	$16.98

Wisconsin rates for HCPCS 85461