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 $501.19 / $4,897.79 / $15,848.93	Facility	$501.19	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $77.62 / $263.03	Professional	$40.74	$77.62	$263.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $67.61 / $112.20	Professional	$60.26	$67.61	$112.20
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 $53.70 / $79.43 / $154.88	Professional	$53.70	$79.43	$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 $45.71 / $72.44 / $147.91	Professional	$45.71	$72.44	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $67.61 / $125.89	Professional	$44.67	$67.61	$125.89
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $102.33	Professional	$41.69	$56.23	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $72.44 / $131.83	Professional	$38.02	$72.44	$131.83
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,288.25	Facility	$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	$588.84	$588.84	$588.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $91.20	Professional	$54.95	$54.95	$91.20
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 $42.66 / $66.07 / $112.20	Facility	$42.66	$66.07	$112.20
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $69.18 / $138.04	Professional	$44.67	$69.18	$138.04
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $204.17	Professional	$134.90	$134.90	$204.17
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $74.13 / $102.33	Professional	$38.02	$74.13	$102.33
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 $36.31 / $54.95 / $125.89	Professional	$36.31	$54.95	$125.89

California rates for HCPCS 20612