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 $446.68 / $3,090.30 / $13,803.84	Facility	$446.68	$3,090.30	$13,803.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $141.25 / $602.56	Professional	$70.79	$141.25	$602.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	$131.83	$131.83	$131.83
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $6,165.95 / $13,489.63	Facility	$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $354.81	Professional	$117.49	$177.83	$354.81
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 $131.83 / $199.53 / $389.05	Professional	$131.83	$199.53	$389.05
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $144.54 / $245.47	Professional	$79.43	$144.54	$245.47
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $234.42	Professional	$75.86	$100.00	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $165.96 / $316.23	Professional	$69.18	$165.96	$316.23
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,621.81	Facility	$54.95	$56.23	$1,621.81
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,122.02 / $1,122.02	Professional	$1,096.48	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $190.55	Professional	$112.20	$112.20	$190.55
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $141.25 / $245.47	Facility	$72.44	$141.25	$245.47
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $147.91 / $263.03	Professional	$77.62	$147.91	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $416.87	Professional	$234.42	$234.42	$416.87
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $117.49 / $186.21	Professional	$69.18	$117.49	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,548.82 / $6,456.54	Facility	$537.03	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $125.89 / $263.03	Professional	$66.07	$125.89	$263.03

California rates for HCPCS 12004