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 $25.12 / $25.12 / $120.23	Facility		$25.12	$25.12	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $23.99 / $33.11	Professional		$19.05	$23.99	$33.11
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $27.54 / $87.10	Professional		$21.88	$27.54	$87.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $114.82	Facility		$64.57	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $45.71 / $95.50	Professional		$26.92	$45.71	$95.50
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $30.20 / $64.57	Facility		$14.13	$30.20	$64.57
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $66.07 / $89.13	Professional		$57.54	$66.07	$89.13
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $33.88 / $144.54	Facility		$16.60	$33.88	$144.54
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $32.36 / $199.53	Professional		$28.18	$32.36	$199.53
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 $47.86 / $47.86 / $61.66	Facility		$47.86	$47.86	$61.66
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $43.65 / $70.79	Professional		$28.18	$43.65	$70.79
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $67.61 / $100.00	Professional		$34.67	$67.61	$100.00
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $199.53	Facility		$64.57	$79.43	$199.53
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $162.18 / $199.53	Professional		$31.62	$162.18	$199.53
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
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 $38.90 / $74.13 / $89.13	Professional		$38.90	$74.13	$89.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $51.29 / $93.33	Professional		$29.51	$51.29	$93.33

Wisconsin rates for HCPCS 97542