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 $69.18 / $218.78 / $398.11	Facility	$69.18	$218.78	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $107.15 / $199.53	Professional	$39.81	$107.15	$199.53
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $194.98 / $389.05	Professional	$67.61	$194.98	$389.05
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $407.38 / $660.69	Facility	$309.03	$407.38	$660.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $158.49 / $436.52	Professional	$56.23	$158.49	$436.52
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $112.20 / $234.42	Facility	$42.66	$112.20	$234.42
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $131.83 / $338.84	Professional	$75.86	$131.83	$338.84
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $114.82 / $269.15	Facility	$42.66	$114.82	$269.15
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $288.40 / $1,148.15	Professional	$131.83	$288.40	$1,148.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $70.79	Professional	$32.36	$33.11	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $83.18	Facility	$61.66	$61.66	$83.18
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $186.21 / $346.74	Professional	$93.33	$186.21	$346.74
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $162.18 / $407.38	Professional	$64.57	$162.18	$407.38
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $194.98 / $467.74	Facility	$66.07	$194.98	$467.74
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $245.47 / $1,174.90	Professional	$45.71	$245.47	$1,174.90
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $158.49	Professional	$50.12	$50.12	$158.49
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $169.82 / $457.09	Professional	$61.66	$169.82	$457.09
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $870.96 / $1,148.15	Facility	$263.03	$870.96	$1,148.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $125.89 / $309.03	Professional	$44.67	$125.89	$309.03

Wisconsin rates for HCPCS 96542