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 / $26.92 / $12,302.69	Facility	$10.96	$26.92	$12,302.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $10.96	Professional	$7.08	$8.91	$10.96
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $26.30 / $26.92	Facility	$21.38	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $4.90 / $39.81	Professional	$4.90	$4.90	$39.81
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $6.76	Facility	$6.76	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $31.62 / $50.12	Facility	$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $13.80 / $30.90	Professional	$11.22	$13.80	$30.90
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $21.38 / $79.43	Facility	$8.71	$21.38	$79.43
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $9.33 / $120.23	Facility	$7.76	$9.33	$120.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $8.32 / $22.39	Professional	$5.89	$8.32	$22.39
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $33.11 / $85.11	Professional	$9.77	$33.11	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $28.18	Facility	$11.75	$11.75	$28.18
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $16.22 / $28.18	Professional	$7.41	$16.22	$28.18
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $24.55 / $100.00	Professional	$12.88	$24.55	$100.00
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $120.23	Facility	$19.50	$19.50	$120.23
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $6.46 / $9.77	Professional	$5.25	$6.46	$9.77
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $51.29	Professional	$20.89	$20.89	$51.29
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $51.29 / $53.70	Professional	$38.90	$51.29	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $8.71 / $23.99	Facility	$4.90	$8.71	$23.99
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $7.94 / $22.39	Professional	$4.90	$7.94	$22.39

Wisconsin rates for HCPCS 85635