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 $7.94 / $16.60 / $20.42	Facility	$7.94	$16.60	$20.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $6.03 / $7.94	Professional	$5.01	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $19.95 / $20.42	Facility	$16.22	$19.95	$20.42
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.31 / $3.31 / $30.20	Professional	$3.31	$3.31	$30.20
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $5.01	Facility	$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $23.99 / $38.90	Facility	$20.89	$23.99	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $10.96 / $23.44	Professional	$8.71	$10.96	$23.44
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $14.79 / $53.70	Facility	$6.03	$14.79	$53.70
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.89 / $6.76 / $100.00	Facility	$5.89	$6.76	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $5.62 / $15.14	Professional	$4.37	$5.62	$15.14
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $23.44 / $64.57	Professional	$7.41	$23.44	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $19.05	Facility	$8.91	$8.91	$19.05
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $12.30 / $21.38	Professional	$5.62	$12.30	$21.38
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $18.62 / $79.43	Professional	$9.77	$18.62	$79.43
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $100.00	Facility	$14.79	$14.79	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $4.37 / $6.46	Professional	$3.98	$4.37	$6.46
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $36.31	Professional	$15.85	$15.85	$36.31
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $36.31 / $40.74	Professional	$33.11	$36.31	$40.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.72 / $6.03 / $15.14	Facility	$3.72	$6.03	$15.14
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $6.03 / $15.14	Professional	$3.72	$6.03	$15.14

Wisconsin rates for HCPCS 85555