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 $12.88 / $53.70 / $190.55	Facility		$12.88	$53.70	$190.55
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $89.13 / $223.87 / $524.81	Facility	CQ	$89.13	$223.87	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.02 / $52.48	Professional		$7.94	$12.02	$52.48
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Professional	CO	$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.12 / $11.75 / $35.48	Professional	CQ	$9.12	$11.75	$35.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $12.02 / $37.15	Professional		$9.77	$12.02	$37.15
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $17.78	Facility		$13.18	$13.18	$17.78
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $13.49	Professional		$13.18	$13.18	$13.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $50.12 / $79.43	Facility		$33.88	$50.12	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $20.89 / $30.90	Professional		$12.02	$20.89	$30.90
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $15.14 / $28.84	Facility		$9.77	$15.14	$28.84
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $26.92 / $39.81	Professional		$25.70	$26.92	$39.81
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $69.18 / $154.88	Facility		$11.48	$69.18	$154.88
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $26.92 / $54.95 / $54.95	Facility	CQ	$26.92	$54.95	$54.95
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $14.79 / $89.13	Professional		$12.30	$14.79	$89.13
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 $21.38 / $21.38 / $25.70	Facility		$21.38	$21.38	$25.70
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $17.38 / $28.84	Professional		$12.59	$17.38	$28.84
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $30.90 / $46.77	Professional		$15.85	$30.90	$46.77
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $79.43 / $100.00	Facility		$33.88	$79.43	$100.00
Quartz Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $28.18 / $75.86 / $75.86	Facility	CQ	$28.18	$75.86	$75.86
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $70.79 / $89.13	Professional		$14.13	$70.79	$89.13
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 $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $38.90 / $39.81	Professional		$17.38	$38.90	$39.81
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 $12.59 / $26.30 / $85.11	Professional		$12.59	$26.30	$85.11

Wisconsin rates for HCPCS 97035