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 $288.40 / $3,090.30 / $13,182.57	Facility		$288.40	$3,090.30	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $501.19 / $1,548.82 / $4,570.88	Facility	50	$501.19	$1,548.82	$4,570.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $72.44 / $245.47	Professional		$37.15	$72.44	$245.47
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $120.23 / $398.11	Professional	50	$79.43	$120.23	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $56.23 / $107.15	Professional		$42.66	$56.23	$107.15
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $70.79 / $89.13 / $97.72	Professional	50	$70.79	$89.13	$97.72
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 $51.29 / $77.62 / $144.54	Professional		$51.29	$77.62	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $81.28 / $154.88	Professional	50	$54.95	$81.28	$154.88
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 $42.66 / $70.79 / $141.25	Professional		$42.66	$70.79	$141.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $61.66 / $112.20	Professional		$40.74	$61.66	$112.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $85.11	Professional		$35.48	$44.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $60.26 / $109.65	Professional		$33.11	$60.26	$109.65
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $15,135.61 / $15,135.61	Facility		$2,187.76	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $398.11 / $457.09	Professional		$60.26	$398.11	$457.09
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $46.77 / $77.62	Professional		$46.77	$46.77	$77.62
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 $38.02 / $58.88 / $100.00	Facility		$38.02	$58.88	$100.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $123.03	Professional		$40.74	$63.10	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $53.70 / $79.43	Professional		$32.36	$53.70	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,548.82 / $6,456.54	Facility		$549.54	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $51.29 / $109.65	Professional		$33.11	$51.29	$109.65

California rates for HCPCS 20605