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 $1,000.00 / $1,230.27 / $6,025.60	Professional	$1,000.00	$1,230.27	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,025.60 / $10,471.29 / $17,782.79	Facility	$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,778.28 / $3,388.44	Professional	$1,288.25	$1,778.28	$3,388.44
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,079.46 / $12,882.50	Facility	$85.11	$7,079.46	$12,882.50
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,949.84 / $3,715.35	Professional	$1,380.38	$1,949.84	$3,715.35
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,073.80 / $4,073.80 / $4,073.80	Facility	$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,513.56 / $2,951.21	Professional	$1,122.02	$1,513.56	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,174.90 / $1,584.89	Professional	$741.31	$1,174.90	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,258.93 / $2,454.71	Professional	$933.25	$1,258.93	$2,454.71
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $12,302.69 / $33,884.42 / $33,884.42	Facility	$12,302.69	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,128.31 / $9,549.93 / $9,549.93	Professional	$8,128.31	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Professional	$1,621.81	$1,621.81	$1,621.81
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 $1,071.52 / $1,479.11 / $2,238.72	Facility	$1,071.52	$1,479.11	$2,238.72
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,513.56 / $2,951.21	Professional	$1,122.02	$1,513.56	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,630.78 / $3,630.78 / $3,630.78	Professional	$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,096.48 / $1,584.89	Professional	$933.25	$1,096.48	$1,584.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,309.57 / $11,748.98 / $25,118.86	Facility	$6,309.57	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,230.27 / $2,570.40	Professional	$870.96	$1,230.27	$2,570.40

California rates for HCPCS 25426