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 $18.20 / $34.67 / $42.66	Facility	$18.20	$34.67	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $19.50	Professional	$10.96	$14.13	$19.50
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $41.69 / $42.66	Facility	$33.11	$41.69	$42.66
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $7.59 / $61.66	Professional	$7.59	$7.59	$61.66
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Facility	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $48.98 / $79.43	Facility	$42.66	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $22.39 / $47.86	Professional	$17.78	$22.39	$47.86
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $33.88 / $123.03	Facility	$13.80	$33.88	$123.03
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $14.45 / $190.55	Facility	$12.30	$14.45	$190.55
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $12.88 / $35.48	Professional	$9.12	$12.88	$35.48
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $33.11 / $85.11	Professional	$15.49	$33.11	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $44.67	Facility	$18.62	$18.62	$44.67
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $25.12 / $43.65	Professional	$11.75	$25.12	$43.65
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $38.90 / $79.43	Professional	$20.42	$38.90	$79.43
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $190.55	Facility	$33.11	$33.11	$190.55
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $10.23 / $15.14	Professional	$8.13	$10.23	$15.14
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $128.82	Professional	$33.11	$33.11	$128.82
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $128.82 / $128.82	Professional	$60.26	$128.82	$128.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $13.80 / $18.62	Facility	$7.76	$13.80	$18.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $12.30 / $35.48	Professional	$6.46	$12.30	$35.48

Wisconsin rates for HCPCS 86804