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 $3,630.78 / $10,232.93 / $19,952.62	Facility		$3,630.78	$10,232.93	$19,952.62
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,454.71 / $8,128.31 / $20,892.96	Facility	50	$2,454.71	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $407.38 / $1,698.24	Professional		$316.23	$407.38	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $478.63 / $707.95 / $2,818.38	Professional	50	$478.63	$707.95	$2,818.38
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $758.58 / $1,348.96	Professional		$457.09	$758.58	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $426.58 / $549.54 / $1,202.26	Professional	50	$426.58	$549.54	$1,202.26
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $8,128.31 / $15,135.61	Facility		$85.11	$8,128.31	$15,135.61
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $549.54 / $1,122.02	Professional		$323.59	$549.54	$1,122.02
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $3,090.30 / $3,630.78	Facility		$3,090.30	$3,090.30	$3,630.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $489.78 / $1,047.13	Professional		$354.81	$489.78	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $354.81 / $537.03	Professional		$302.00	$354.81	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $338.84 / $676.08	Professional		$257.04	$338.84	$676.08
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $42,657.95 / $42,657.95	Facility		$13,803.84	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $489.78 / $954.99	Facility		$323.59	$489.78	$954.99
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $478.63 / $851.14	Professional		$331.13	$478.63	$851.14
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $501.19 / $776.25	Professional		$275.42	$501.19	$776.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $10,232.93 / $20,417.38	Facility		$5,248.07	$10,232.93	$20,417.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $416.87 / $977.24	Professional		$281.84	$416.87	$977.24

California rates for HCPCS 31255