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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $4,897.79 / $15,848.93	Facility		$436.52	$4,897.79	$15,848.93
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Facility	52	$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $213.80 / $758.58	Professional		$69.18	$213.80	$758.58
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $93.33 / $165.96 / $537.03	Professional	52	$93.33	$165.96	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $204.17 / $380.19	Professional		$177.83	$204.17	$380.19
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $199.53 / $512.86	Professional		$95.50	$199.53	$512.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,000.00 / $2,041.74	Facility		$85.11	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $218.78 / $489.78	Professional		$70.79	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $154.88	Facility		$131.83	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $194.98 / $489.78	Professional		$74.13	$194.98	$489.78
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $309.03	Professional		$48.98	$72.44	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $199.53 / $380.19	Professional		$56.23	$199.53	$380.19
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $4,365.16	Facility		$54.95	$56.23	$4,365.16
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Facility	52	$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,584.89 / $1,584.89	Professional		$1,380.38	$1,584.89	$1,584.89
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $257.04	Professional		$154.88	$154.88	$257.04
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $186.21 / $363.08	Facility		$67.61	$186.21	$363.08
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $177.83 / $467.74	Professional		$74.13	$177.83	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $645.65	Professional		$204.17	$204.17	$645.65
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $81.28 / $213.80	Professional		$48.98	$81.28	$213.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,548.82 / $6,456.54	Facility		$489.78	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $158.49 / $407.38	Professional		$60.26	$158.49	$407.38

California rates for HCPCS 31231