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 $23.44 / $39.81 / $144.54	Facility		$23.44	$39.81	$144.54
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $102.33 / $141.25 / $288.40	Facility	CQ	$102.33	$141.25	$288.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.44 / $75.86	Professional		$16.98	$23.44	$75.86
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.05 / $38.90 / $588.84	Professional	CQ	$19.05	$38.90	$588.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $25.12 / $77.62	Professional		$20.42	$25.12	$77.62
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $37.15	Facility		$27.54	$27.54	$37.15
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $28.18	Professional		$27.54	$27.54	$28.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $104.71	Facility		$64.57	$85.11	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $43.65 / $87.10	Professional		$25.12	$43.65	$87.10
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $28.84 / $60.26	Facility		$20.42	$28.84	$60.26
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $56.23 / $85.11	Professional		$52.48	$56.23	$85.11
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $79.43 / $131.83	Facility		$23.44	$79.43	$131.83
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $56.23 / $114.82 / $114.82	Facility	CQ	$56.23	$114.82	$114.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $31.62 / $186.21	Professional		$26.30	$31.62	$186.21
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 $44.67 / $44.67 / $57.54	Facility		$44.67	$44.67	$57.54
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $66.07	Professional		$26.30	$39.81	$66.07
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $60.26 / $93.33	Professional		$32.36	$60.26	$93.33
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $186.21	Facility		$64.57	$79.43	$186.21
Quartz Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $58.88 / $158.49 / $158.49	Facility	CQ	$58.88	$158.49	$158.49
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $147.91 / $186.21	Professional		$29.51	$147.91	$186.21
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
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 $35.48 / $69.18 / $83.18	Professional		$35.48	$69.18	$83.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $43.65 / $87.10	Professional		$26.30	$43.65	$87.10

Wisconsin rates for HCPCS 97116