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 $25.70 / $51.29 / $151.36	Facility	$25.70	$51.29	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $16.22 / $21.88	Professional	$14.13	$16.22	$21.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $50.12 / $51.29	Facility	$40.74	$50.12	$51.29
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $75.86	Professional	$9.33	$9.33	$75.86
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $12.88 / $12.88	Facility	$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $60.26 / $95.50	Facility	$51.29	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $26.92 / $58.88	Professional	$21.38	$26.92	$58.88
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $40.74 / $151.36	Facility	$16.60	$40.74	$151.36
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $18.20 / $100.00	Facility	$15.14	$18.20	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $15.49 / $46.77	Professional	$11.22	$15.49	$46.77
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $37.15 / $85.11	Professional	$9.33	$37.15	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $53.70	Facility	$22.39	$22.39	$53.70
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $30.90 / $52.48	Professional	$14.13	$30.90	$52.48
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $47.86 / $141.25	Professional	$24.55	$47.86	$141.25
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $100.00	Facility	$37.15	$37.15	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.30 / $18.20	Professional	$10.00	$12.30	$18.20
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $67.61	Professional	$39.81	$39.81	$67.61
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $102.33	Professional	$67.61	$67.61	$102.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $16.60 / $45.71	Facility	$9.33	$16.60	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $15.14 / $42.66	Professional	$9.33	$15.14	$42.66

Wisconsin rates for HCPCS 85549