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 $50.12 / $93.33 / $114.82	Facility	$50.12	$93.33	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $64.57	Professional	$30.90	$38.90	$64.57
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $114.82	Facility	$89.13	$112.20	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $173.78	Professional	$20.42	$20.42	$173.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $134.90 / $213.80	Facility	$114.82	$134.90	$213.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $63.10 / $131.83	Professional	$30.20	$63.10	$131.83
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $229.09 / $331.13	Facility	$50.12	$229.09	$331.13
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $275.42	Professional	$251.19	$251.19	$275.42
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $144.54	Facility	$41.69	$64.57	$144.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $35.48 / $346.74	Professional	$24.55	$35.48	$346.74
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $85.11	Professional	$32.36	$58.88	$85.11
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $120.23	Facility	$50.12	$50.12	$120.23
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $70.79 / $117.49	Professional	$41.69	$70.79	$117.49
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $177.83	Professional	$72.44	$104.71	$177.83
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $263.03 / $263.03	Facility	$83.18	$263.03	$263.03
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $234.42 / $346.74	Professional	$50.12	$234.42	$346.74
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $89.13	Professional	$42.66	$42.66	$89.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $165.96 / $257.04	Professional	$42.66	$165.96	$257.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $37.15 / $100.00	Facility	$15.14	$37.15	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $33.11 / $69.18	Professional	$17.38	$33.11	$69.18

Wisconsin rates for HCPCS 87542