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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $26.92 / $81.28	Facility		$10.96	$26.92	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.88 / $40.74	Professional		$8.91	$12.88	$40.74
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.77 / $28.18 / $85.11	Professional	CQ	$9.77	$28.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.59 / $42.66	Professional		$10.00	$12.59	$42.66
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $18.62	Facility		$13.80	$13.80	$18.62
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $14.13	Professional		$13.80	$13.80	$14.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $48.98 / $79.43	Facility		$33.11	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $21.38 / $30.90	Professional		$12.02	$21.38	$30.90
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $16.60 / $30.90	Facility		$10.00	$16.60	$30.90
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $29.51 / $40.74	Professional		$26.30	$29.51	$40.74
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $19.95 / $100.00	Facility		$10.47	$19.95	$100.00
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $15.85 / $91.20	Professional		$13.18	$15.85	$91.20
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $32.36	Facility		$22.39	$22.39	$32.36
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $20.42 / $34.67	Professional		$13.18	$20.42	$34.67
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $33.11 / $63.10	Professional		$15.85	$33.11	$63.10
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $79.43 / $100.00	Facility		$34.67	$79.43	$100.00
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $74.13 / $91.20	Professional		$14.45	$74.13	$91.20
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Security Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $38.90 / $44.67	Professional		$17.78	$38.90	$44.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $19.50 / $79.43	Professional		$13.49	$19.50	$79.43

Wisconsin rates for HCPCS 97012