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 $3,548.13 / $8,912.51 / $21,379.62	Facility	$3,548.13	$8,912.51	$21,379.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,258.93 / $6,025.60	Professional	$1,047.13	$1,258.93	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $11,481.54 / $17,782.79	Facility	$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,949.84 / $3,630.78	Professional	$1,412.54	$1,949.84	$3,630.78
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,585.78 / $15,135.61	Facility	$85.11	$7,585.78	$15,135.61
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,862.09 / $3,715.35	Professional	$1,348.96	$1,862.09	$3,715.35
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,709.64 / $8,709.64 / $8,709.64	Facility	$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,584.89 / $3,090.30	Professional	$1,174.90	$1,584.89	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,202.26 / $1,659.59	Professional	$977.24	$1,202.26	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,318.26 / $2,570.40	Professional	$1,000.00	$1,318.26	$2,570.40
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $28,840.32 / $33,884.42 / $33,884.42	Facility	$28,840.32	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9,120.11 / $10,000.00 / $10,000.00	Professional	$9,120.11	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,698.24 / $1,698.24 / $1,698.24	Professional	$1,698.24	$1,698.24	$1,698.24
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 $1,122.02 / $1,548.82 / $2,398.83	Facility	$1,122.02	$1,548.82	$2,398.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,621.81 / $3,090.30	Professional	$1,174.90	$1,621.81	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $3,801.89	Professional	$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,348.96 / $2,089.30	Professional	$977.24	$1,348.96	$2,089.30
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,762.47 / $14,125.38 / $28,840.32	Facility	$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,288.25 / $2,818.38	Professional	$912.01	$1,288.25	$2,818.38

California rates for HCPCS 25420