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 $1,071.52 / $9,772.37 / $19,952.62	Facility		$1,071.52	$9,772.37	$19,952.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $72.44 / $309.03	Professional		$30.90	$72.44	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $102.33 / $181.97	Professional		$57.54	$102.33	$181.97
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $69.18 / $199.53	Professional		$35.48	$69.18	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $57.54 / $128.82 / $218.78	Professional	50	$57.54	$128.82	$218.78
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 $39.81 / $66.07 / $138.04	Professional		$39.81	$66.07	$138.04
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $70.79 / $177.83	Professional		$37.15	$70.79	$177.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $151.36	Professional		$25.70	$38.90	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $100.00 / $199.53	Professional		$32.36	$100.00	$199.53
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,479.11	Facility		$54.95	$56.23	$1,479.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $870.96 / $870.96	Professional		$741.31	$870.96	$870.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $144.54	Professional		$87.10	$87.10	$144.54
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $64.57 / $147.91	Facility		$33.11	$64.57	$147.91
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $74.13 / $204.17	Professional		$37.15	$74.13	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $354.81	Professional		$128.82	$128.82	$354.81
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $37.15 / $112.20	Professional		$26.92	$37.15	$112.20
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 $32.36 / $70.79 / $158.49	Professional		$32.36	$70.79	$158.49

California rates for HCPCS 11305