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 $19.95 / $38.90 / $47.86	Facility	$19.95	$38.90	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $19.95	Professional	$10.96	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $46.77 / $47.86	Facility	$38.02	$46.77	$47.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $7.08 / $61.66	Professional	$7.08	$7.08	$61.66
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Facility	$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $89.13	Facility	$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $25.12 / $54.95	Professional	$20.42	$25.12	$54.95
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $34.67 / $75.86	Facility	$8.51	$34.67	$75.86
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $15.85 / $120.23	Facility	$8.51	$15.85	$120.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $10.47 / $28.18	Professional	$7.41	$10.47	$28.18
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $33.11 / $85.11	Professional	$8.71	$33.11	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $20.89 / $27.54	Facility	$19.05	$20.89	$27.54
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $18.62 / $48.98	Professional	$13.18	$18.62	$48.98
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $44.67 / $100.00	Professional	$22.91	$44.67	$100.00
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $120.23	Facility	$50.12	$50.12	$120.23
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $6.46 / $9.33	Professional	$6.31	$6.46	$9.33
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $9.77 / $37.15	Professional	$9.77	$9.77	$37.15
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $9.77 / $95.50	Professional	$9.77	$9.77	$95.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $14.13 / $36.31	Facility	$7.24	$14.13	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $10.47 / $28.84	Professional	$7.41	$10.47	$28.84

Wisconsin rates for HCPCS 85612