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 $323.59 / $4,897.79 / $15,848.93	Facility		$323.59	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $51.29 / $213.80	Professional		$16.98	$51.29	$213.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $72.44 / $154.88	Professional		$60.26	$72.44	$154.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $22.91 / $102.33	Facility		$17.78	$22.91	$102.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $42.66 / $117.49	Professional		$19.95	$42.66	$117.49
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $25.12 / $89.13 / $141.25	Professional	50	$25.12	$89.13	$141.25
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,000.00 / $2,041.74	Facility		$85.11	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $42.66 / $85.11	Professional		$23.99	$42.66	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $43.65 / $112.20	Professional		$17.38	$43.65	$112.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.95 / $109.65	Professional		$14.79	$19.95	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $72.44 / $141.25	Professional		$13.49	$72.44	$141.25
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $588.84 / $588.84	Professional		$501.19	$588.84	$588.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $97.72	Professional		$58.88	$58.88	$97.72
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $37.15 / $100.00	Facility		$14.45	$37.15	$100.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $44.67 / $128.82	Professional		$17.38	$44.67	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $208.93	Professional		$51.29	$51.29	$208.93
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $27.54 / $79.43	Professional		$13.49	$27.54	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,584.89 / $6,456.54	Facility		$549.54	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $41.69 / $97.72	Professional		$14.13	$41.69	$97.72

California rates for HCPCS 11055