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 / $22,387.21	Facility	$3,630.78	$10,000.00	$22,387.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,445.44 / $6,025.60	Professional	$1,174.90	$1,445.44	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $11,220.18 / $17,782.79	Facility	$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,949.84 / $3,890.45	Professional	$1,479.11	$1,949.84	$3,890.45
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $5,623.41 / $10,715.19	Facility	$83.18	$5,623.41	$10,715.19
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,862.09 / $3,630.78	Professional	$1,288.25	$1,862.09	$3,630.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,659.59 / $3,388.44	Professional	$1,288.25	$1,659.59	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,348.96 / $1,819.70	Professional	$851.14	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,445.44 / $2,818.38	Professional	$1,071.52	$1,445.44	$2,818.38
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $26,302.68	Facility	$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9,332.54 / $11,220.18 / $11,220.18	Professional	$9,332.54	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $1,862.09 / $1,862.09	Professional	$1,862.09	$1,862.09	$1,862.09
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 $1,230.27 / $1,621.81 / $2,570.40	Facility	$1,230.27	$1,621.81	$2,570.40
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,659.59 / $3,388.44	Professional	$1,288.25	$1,659.59	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,168.69 / $4,168.69 / $4,168.69	Professional	$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,258.93 / $1,819.70	Professional	$1,071.52	$1,258.93	$1,819.70
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 $1,023.29 / $1,380.38 / $3,019.95	Professional	$1,023.29	$1,380.38	$3,019.95

California rates for HCPCS 27454