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 $354.81 / $354.81 / $501.19	Facility		$354.81	$354.81	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $316.23	Professional		$134.90	$162.18	$316.23
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $134.90 / $204.17 / $263.03	Professional	25	$134.90	$204.17	$263.03
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $234.42 / $467.74	Professional		$158.49	$234.42	$467.74
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $199.53 / $288.40	Facility		$154.88	$199.53	$288.40
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $363.08	Professional		$154.88	$194.98	$363.08
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 $141.25 / $229.09 / $478.63	Professional		$141.25	$229.09	$478.63
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $169.82 / $331.13	Facility		$138.04	$169.82	$331.13
DeanCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $346.74 / $457.09	Professional		$275.42	$346.74	$457.09
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $173.78 / $346.74	Facility		$138.04	$173.78	$346.74
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $263.03 / $1,047.13	Professional		$165.96	$263.03	$1,047.13
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 Professional Modifier Typical Low / Median / Typical High $123.03 / $229.09 / $380.19	Professional		$123.03	$229.09	$380.19
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $389.05 / $562.34	Professional		$194.98	$389.05	$562.34
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $1,047.13	Facility		$309.03	$309.03	$1,047.13
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $363.08 / $1,047.13	Professional		$147.91	$363.08	$1,047.13
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $489.78	Professional		$169.82	$309.03	$489.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $295.12 / $446.68	Professional		$87.10	$295.12	$446.68

Wisconsin rates for HCPCS G0438