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 $107.15 / $257.04 / $407.38	Facility		$107.15	$257.04	$407.38
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $51.29 / $309.03 / $436.52	Facility	25	$51.29	$309.03	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $177.83 / $457.09	Professional		$104.71	$177.83	$457.09
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $128.82 / $245.47 / $489.78	Professional	25	$128.82	$245.47	$489.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $218.78 / $398.11	Professional		$144.54	$218.78	$398.11
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $162.18 / $234.42	Facility		$125.89	$162.18	$234.42
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $199.53 / $371.54	Professional		$158.49	$199.53	$371.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $512.86 / $831.76	Facility		$389.05	$512.86	$831.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $275.42 / $478.63	Professional		$131.83	$275.42	$478.63
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $147.91 / $309.03	Facility		$104.71	$147.91	$309.03
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $426.58	Professional		$218.78	$309.03	$426.58
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $154.88 / $316.23	Facility		$104.71	$154.88	$316.23
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $354.81 / $1,047.13	Professional		$162.18	$354.81	$1,047.13
Medica Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $234.42 / $398.11 / $489.78	Professional	25	$234.42	$398.11	$489.78
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $234.42 / $380.19	Professional		$123.03	$234.42	$380.19
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $295.12 / $446.68	Professional		$173.78	$295.12	$446.68
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $831.76	Facility		$245.47	$245.47	$831.76
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $245.47 / $1,047.13	Professional		$128.82	$245.47	$1,047.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $194.98	Professional		$158.49	$158.49	$194.98
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $269.15 / $346.74	Professional		$177.83	$269.15	$346.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $109.65 / $162.18	Facility		$69.18	$109.65	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $331.13 / $446.68	Professional		$95.50	$331.13	$446.68
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $85.11 / $97.72 / $263.03	Professional	25	$85.11	$97.72	$263.03

Wisconsin rates for HCPCS 99204