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 $3,981.07 / $10,000.00 / $20,892.96	Facility	$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $851.14 / $4,073.80	Professional	$676.08	$851.14	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,025.60 / $10,715.19 / $17,782.79	Facility	$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $891.25 / $1,862.09	Professional	$660.69	$891.25	$1,862.09
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,079.46 / $15,135.61	Facility	$85.11	$7,079.46	$15,135.61
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,174.90 / $2,238.72	Professional	$831.76	$1,174.90	$2,238.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $3,388.44 / $7,079.46	Facility	$758.58	$3,388.44	$7,079.46
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $954.99 / $1,819.70	Professional	$575.44	$954.99	$1,819.70
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $851.14 / $1,148.15	Professional	$602.56	$851.14	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $831.76 / $1,698.24	Professional	$660.69	$831.76	$1,698.24
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $42,657.95	Facility	$16,982.44	$16,982.44	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,918.31 / $6,918.31 / $6,918.31	Professional	$6,918.31	$6,918.31	$6,918.31
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,047.13	Professional	$32.36	$33.11	$1,047.13
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 $691.83 / $954.99 / $1,584.89	Facility	$691.83	$954.99	$1,584.89
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $954.99 / $1,949.84	Professional	$549.54	$954.99	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $2,398.83	Professional	$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $891.25 / $1,288.25	Professional	$691.83	$891.25	$1,288.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $11,220.18 / $25,118.86	Facility	$5,248.07	$11,220.18	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $812.83 / $1,621.81	Professional	$575.44	$812.83	$1,621.81

California rates for HCPCS 42235