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. Small sample — interpret with caution. 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 $41.69 / $41.69 / $41.69	Facility	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $42.66 / $52.48	Professional	$41.69	$42.66	$52.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $223.87 / $467.74	Professional	$151.36	$223.87	$467.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $199.53 / $389.05	Facility	$169.82	$199.53	$389.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $131.83 / $181.97	Professional	$125.89	$131.83	$181.97
DeanCare Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $45.71 / $64.57	Facility	$42.66	$45.71	$64.57
Medica Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $53.70 / $107.15	Facility	$42.66	$53.70	$107.15
Medica Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $138.04	Professional	$44.67	$44.67	$138.04
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $70.79	Professional	$32.36	$58.88	$70.79
Network Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	$46.77	$46.77	$46.77
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $275.42 / $446.68	Professional	$141.25	$275.42	$446.68
Quartz Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $64.57 / $107.15	Facility	$45.71	$64.57	$107.15
Quartz Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $239.88	Professional	$45.71	$45.71	$239.88
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $190.55 / $338.84	Professional	$147.91	$190.55	$338.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,168.69 / $4,168.69 / $9,772.37	Facility	$4,168.69	$4,168.69	$9,772.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $125.89 / $144.54	Professional	$44.67	$125.89	$144.54

Wisconsin rates for HCPCS Q4165