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 $3,630.78 / $10,000.00 / $23,988.33	Facility	$3,630.78	$10,000.00	$23,988.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $741.31 / $2,238.72	Professional	$501.19	$741.31	$2,238.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	$354.81	$354.81	$354.81
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $8,128.31 / $15,848.93	Facility	$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $933.25 / $1,778.28	Professional	$676.08	$933.25	$1,778.28
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $10,000.00 / $20,892.96	Facility	$85.11	$10,000.00	$20,892.96
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $870.96 / $1,862.09	Professional	$562.34	$870.96	$1,862.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,754.40 / $5,754.40 / $5,754.40	Facility	$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $1,584.89	Professional	$588.84	$851.14	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $724.44 / $1,258.93	Professional	$501.19	$724.44	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $812.83 / $1,412.54	Professional	$524.81	$812.83	$1,412.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $33,884.42 / $33,884.42	Facility	$16,982.44	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,370.32 / $6,165.95 / $6,165.95	Professional	$5,370.32	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $1,047.13	Professional	$630.96	$630.96	$1,047.13
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 $588.84 / $891.25 / $1,348.96	Facility	$588.84	$891.25	$1,348.96
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $1,584.89	Professional	$588.84	$851.14	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $1,862.09 / $2,398.83	Professional	$1,862.09	$1,862.09	$2,398.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $758.58 / $1,047.13	Professional	$501.19	$758.58	$1,047.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $4,365.16 / $11,481.54	Facility	$2,290.87	$4,365.16	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $1,479.11	Professional	$478.63	$691.83	$1,479.11

California rates for HCPCS 21235