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 $30.90 / $134.90 / $218.78	Facility	$30.90	$134.90	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $12.30 / $53.70	Professional	$10.23	$12.30	$53.70
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $38.02	Facility	$29.51	$37.15	$38.02
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $54.95	Professional	$6.76	$6.76	$54.95
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $14.45	Facility	$10.96	$10.96	$14.45
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Professional	$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $44.67 / $70.79	Facility	$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.50 / $42.66	Professional	$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $30.20 / $109.65	Facility	$12.30	$30.20	$109.65
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $52.48 / $138.04	Facility	$12.30	$52.48	$138.04
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $11.22 / $38.02	Professional	$8.13	$11.22	$38.02
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $32.36 / $64.57	Professional	$6.92	$32.36	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $16.60 / $38.90	Facility	$16.60	$16.60	$38.90
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $22.39 / $38.90	Professional	$10.23	$22.39	$38.90
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $34.67 / $134.90	Professional	$18.20	$34.67	$134.90
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $100.00	Facility	$33.11	$33.11	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $8.91 / $13.18	Professional	$7.24	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $42.66	Professional	$29.51	$29.51	$42.66
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $67.61 / $85.11	Professional	$42.66	$67.61	$85.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.92 / $12.30 / $33.11	Facility	$6.92	$12.30	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $10.96 / $33.88	Professional	$6.03	$10.96	$33.88

Wisconsin rates for HCPCS 86225