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 $8.91 / $8.91 / $44.67	Facility		$8.91	$8.91	$44.67
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $97.72 / $128.82 / $128.82	Facility	CQ	$97.72	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.00 / $44.67	Professional		$7.08	$10.00	$44.67
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.59 / $27.54 / $31.62	Professional	CQ	$7.59	$27.54	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.72 / $39.81	Professional		$7.94	$10.72	$39.81
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $11.22 / $15.14	Facility		$11.22	$11.22	$15.14
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $11.22 / $11.48	Professional		$11.22	$11.22	$11.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $40.74 / $79.43	Facility		$26.92	$40.74	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $17.38 / $25.70	Professional		$9.77	$17.38	$25.70
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $13.49 / $26.30	Facility		$8.13	$13.49	$26.30
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $23.99 / $33.11	Professional		$21.38	$23.99	$33.11
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $19.95 / $100.00	Facility		$9.12	$19.95	$100.00
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $22.39 / $48.98 / $48.98	Facility	CQ	$22.39	$48.98	$48.98
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $16.60 / $83.18	Professional		$10.96	$16.60	$83.18
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 $17.78 / $17.78 / $39.81	Facility		$17.78	$17.78	$39.81
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $17.78 / $33.88	Professional		$10.72	$17.78	$33.88
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $28.18 / $39.81	Professional		$13.49	$28.18	$39.81
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $79.43 / $100.00	Facility		$28.18	$79.43	$100.00
Quartz Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $23.99 / $63.10 / $63.10	Facility	CQ	$23.99	$63.10	$63.10
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $61.66 / $83.18	Professional		$12.30	$61.66	$83.18
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
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 $15.85 / $32.36 / $44.67	Professional		$15.85	$32.36	$44.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $20.42 / $89.13	Professional		$12.02	$20.42	$89.13

Wisconsin rates for HCPCS 97016