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 $3,467.37 / $8,709.64 / $19,952.62	Facility	$3,467.37	$8,709.64	$19,952.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,380.38 / $6,025.60	Professional	$1,122.02	$1,380.38	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,677.35 / $8,317.64 / $15,848.93	Facility	$4,677.35	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,819.70 / $3,548.13	Professional	$1,258.93	$1,819.70	$3,548.13
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,244.36 / $14,791.08	Facility	$85.11	$7,244.36	$14,791.08
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,737.80 / $3,548.13	Professional	$1,202.26	$1,737.80	$3,548.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $18,197.01 / $18,197.01 / $18,197.01	Facility	$18,197.01	$18,197.01	$18,197.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,621.81 / $3,311.31	Professional	$1,202.26	$1,621.81	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,412.54 / $1,905.46	Professional	$933.25	$1,412.54	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,513.56 / $2,884.03	Professional	$1,122.02	$1,513.56	$2,884.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $33,884.42 / $33,884.42 / $50,118.72	Facility	$33,884.42	$33,884.42	$50,118.72
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 $1,174.90 / $1,584.89 / $2,511.89	Facility	$1,174.90	$1,584.89	$2,511.89
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,621.81 / $3,311.31	Professional	$1,202.26	$1,621.81	$3,311.31
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 $1,148.15 / $1,412.54 / $1,995.26	Professional	$1,148.15	$1,412.54	$1,995.26
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 $1,000.00 / $1,348.96 / $2,951.21	Professional	$1,000.00	$1,348.96	$2,951.21

California rates for HCPCS 28420