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 $30.20 / $107.15 / $416.87	Facility		$30.20	$107.15	$416.87
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	CO	$257.04	$257.04	$257.04
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $53.70 / $141.25 / $141.25	Facility	CQ	$53.70	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.92 / $141.25	Professional		$19.95	$26.92	$141.25
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $66.07 / $70.79 / $70.79	Professional	CO	$66.07	$70.79	$70.79
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $23.44 / $42.66 / $81.28	Professional	CQ	$23.44	$42.66	$81.28
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $28.84 / $95.50	Professional		$22.39	$28.84	$95.50
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $40.74	Facility		$30.20	$30.20	$40.74
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $31.62	Professional		$30.20	$30.20	$31.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $89.13 / $117.49	Facility		$64.57	$89.13	$117.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $45.71 / $97.72	Professional		$28.18	$45.71	$97.72
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $32.36 / $66.07	Facility		$20.89	$32.36	$66.07
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $61.66 / $93.33	Professional		$57.54	$61.66	$93.33
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $74.13 / $154.88	Facility		$25.70	$74.13	$154.88
Medica Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $61.66 / $128.82 / $128.82	Facility	CO	$61.66	$128.82	$128.82
Medica Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $61.66 / $128.82 / $128.82	Facility	CQ	$61.66	$128.82	$128.82
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $208.93	Professional		$29.51	$37.15	$208.93
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 $50.12 / $50.12 / $70.79	Facility		$50.12	$50.12	$70.79
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $46.77 / $81.28	Professional		$29.51	$46.77	$81.28
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $67.61 / $107.15	Professional		$36.31	$67.61	$107.15
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $208.93	Facility		$64.57	$79.43	$208.93
Quartz Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $66.07 / $177.83 / $177.83	Facility	CO	$66.07	$177.83	$177.83
Quartz Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $66.07 / $177.83 / $177.83	Facility	CQ	$66.07	$177.83	$177.83
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $169.82 / $208.93	Professional		$32.36	$169.82	$208.93
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Security Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $77.62 / $91.20	Professional		$40.74	$77.62	$91.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $54.95 / $95.50	Professional		$30.90	$54.95	$95.50

Wisconsin rates for HCPCS 97535