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 $426.58 / $3,162.28 / $13,182.57	Facility		$426.58	$3,162.28	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $407.38 / $1,621.81 / $4,073.80	Facility	50	$407.38	$1,621.81	$4,073.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $120.23 / $363.08	Professional		$58.88	$120.23	$363.08
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $239.88 / $645.65	Professional	50	$123.03	$239.88	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $104.71 / $245.47	Professional		$83.18	$104.71	$245.47
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $125.89 / $147.91 / $363.08	Professional	50	$125.89	$147.91	$363.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $128.82 / $257.04	Professional		$77.62	$128.82	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $147.91 / $257.04	Professional	50	$87.10	$147.91	$257.04
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 $63.10 / $104.71 / $218.78	Professional		$63.10	$104.71	$218.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $104.71 / $199.53	Professional		$66.07	$104.71	$199.53
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $66.07 / $158.49	Professional		$52.48	$66.07	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $109.65 / $204.17	Professional		$51.29	$109.65	$204.17
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $363.08	Facility		$54.95	$56.23	$363.08
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $707.95 / $831.76	Professional		$125.89	$707.95	$831.76
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $141.25	Professional		$85.11	$85.11	$141.25
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $102.33 / $173.78	Facility		$58.88	$102.33	$173.78
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $109.65 / $208.93	Professional		$66.07	$109.65	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $309.03	Professional		$194.98	$194.98	$309.03
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $74.13 / $120.23	Professional		$50.12	$74.13	$120.23
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 $53.70 / $87.10 / $190.55	Professional		$53.70	$87.10	$190.55
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $75.86 / $234.42	Professional	50	$75.86	$75.86	$234.42

California rates for HCPCS 20611