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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Facility	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $15.14	Professional	$7.94	$10.96	$15.14
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $18.20 / $30.20	Facility	$18.20	$18.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $16.98 / $19.50	Professional	$16.98	$16.98	$19.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $89.13	Facility	$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $25.70 / $34.67	Professional	$7.41	$25.70	$34.67
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $14.79 / $25.70	Facility	$10.23	$14.79	$25.70
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $17.78 / $21.88	Professional	$10.23	$17.78	$21.88
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $17.78 / $39.81	Facility	$10.23	$17.78	$39.81
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $8.91 / $89.13	Professional	$7.59	$8.91	$89.13
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 $28.84 / $28.84 / $28.84	Facility	$28.84	$28.84	$28.84
Network Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $20.42 / $35.48	Professional	$12.88	$20.42	$35.48
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $27.54 / $47.86	Professional	$18.20	$27.54	$47.86
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $85.11	Facility	$36.31	$36.31	$85.11
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $22.39 / $89.13	Professional	$7.24	$22.39	$89.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Professional	$18.20	$18.20	$18.20
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Professional	$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $8.91 / $14.45	Professional	$5.89	$8.91	$14.45

Wisconsin rates for HCPCS A4257