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 $2,344.23 / $6,606.93 / $16,982.44	Facility	$2,344.23	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $213.80 / $741.31	Professional	$128.82	$213.80	$741.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	$144.54	$144.54	$144.54
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 $234.42 / $331.13 / $562.34	Professional	$234.42	$331.13	$562.34
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,786.30 / $8,912.51	Facility	$85.11	$4,786.30	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $602.56	Professional	$239.88	$323.59	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Facility	$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $251.19 / $416.87	Professional	$158.49	$251.19	$416.87
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $151.36 / $190.55	Professional	$125.89	$151.36	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $346.74	Professional	$120.23	$158.49	$346.74
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,079.46 / $7,079.46 / $28,840.32	Facility	$7,079.46	$7,079.46	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,737.80	Professional	$1,318.26	$1,318.26	$1,737.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	$204.17	$204.17	$204.17
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional	$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $371.54	Facility	$138.04	$208.93	$371.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $398.11	Professional	$158.49	$257.04	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Professional	$478.63	$478.63	$478.63
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $177.83 / $269.15	Professional	$125.89	$177.83	$269.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,890.45 / $7,244.36 / $15,135.61	Facility	$3,890.45	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $204.17 / $380.19	Professional	$114.82	$204.17	$380.19

California rates for HCPCS 20240