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 $2,238.72 / $6,456.54 / $16,595.87	Facility		$2,238.72	$6,456.54	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $1,380.38 / $3,235.94	Professional		$281.84	$1,380.38	$3,235.94
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $234.42 / $630.96 / $1,513.56	Professional	50	$234.42	$630.96	$1,513.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $467.74	Professional		$288.40	$288.40	$467.74
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $1,621.81 / $4,365.16	Professional		$457.09	$1,621.81	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $467.74 / $2,089.30 / $3,715.35	Professional	50	$467.74	$2,089.30	$3,715.35
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,801.89 / $7,585.78	Facility		$85.11	$3,801.89	$7,585.78
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $1,288.25 / $3,548.13	Professional		$331.13	$1,288.25	$3,548.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $1,348.96 / $3,090.30	Professional		$346.74	$1,348.96	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $3,019.95	Professional		$257.04	$363.08	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $1,348.96 / $3,162.28	Professional		$269.15	$1,348.96	$3,162.28
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $11,481.54 / $11,481.54	Facility		$56.23	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11,220.18 / $13,489.63 / $13,489.63	Professional		$11,220.18	$13,489.63	$13,489.63
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,348.96 / $3,019.95	Facility		$338.84	$1,348.96	$3,019.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $1,412.54 / $3,162.28	Professional		$338.84	$1,412.54	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $5,128.61	Professional		$1,000.00	$1,000.00	$5,128.61
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $354.81 / $2,238.72	Professional		$257.04	$354.81	$2,238.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $9,772.37 / $20,417.38	Facility		$5,248.07	$9,772.37	$20,417.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $1,258.93 / $2,951.21	Professional		$309.03	$1,258.93	$2,951.21

California rates for HCPCS 36225