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 $3,981.07 / $10,000.00 / $22,908.68	Facility	$3,981.07	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,445.44 / $5,754.40	Professional	$1,230.27	$1,445.44	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $11,481.54 / $18,620.87	Facility	$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,905.46 / $3,981.07	Professional	$1,479.11	$1,905.46	$3,981.07
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $10,471.29 / $20,892.96	Facility	$85.11	$10,471.29	$20,892.96
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,737.80 / $3,715.35	Professional	$1,174.90	$1,737.80	$3,715.35
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 $1,148.15 / $1,659.59 / $3,548.13	Professional	$1,148.15	$1,659.59	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,479.11 / $1,995.26	Professional	$794.33	$1,479.11	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,548.82 / $3,019.95	Professional	$1,148.15	$1,548.82	$3,019.95
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $16,982.44	Facility	$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15,488.17 / $15,488.17 / $15,488.17	Professional	$15,488.17	$15,488.17	$15,488.17
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional	$1,949.84	$1,949.84	$1,949.84
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 $1,258.93 / $1,659.59 / $2,951.21	Facility	$1,258.93	$1,659.59	$2,951.21
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,698.24 / $3,548.13	Professional	$1,148.15	$1,698.24	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,570.88 / $4,570.88 / $4,570.88	Professional	$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,318.26 / $1,698.24	Professional	$1,000.00	$1,318.26	$1,698.24
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,760.83 / $11,748.98 / $25,118.86	Facility	$6,760.83	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,380.38 / $3,162.28	Professional	$1,047.13	$1,380.38	$3,162.28

California rates for HCPCS 21260