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 $3,715.35 / $10,471.29 / $22,908.68	Facility	$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,290.87 / $2,818.38 / $9,549.93	Professional	$2,290.87	$2,818.38	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,943.28 / $13,489.63 / $22,387.21	Facility	$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,344.23 / $3,162.28 / $6,025.60	Professional	$2,344.23	$3,162.28	$6,025.60
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $5,754.40 / $10,715.19	Facility	$79.43	$5,754.40	$10,715.19
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,548.13 / $6,760.83	Professional	$2,454.71	$3,548.13	$6,760.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $724.44 / $1,023.29	Facility	$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $3,090.30 / $5,888.44	Professional	$2,137.96	$3,090.30	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $2,511.89 / $3,235.94	Professional	$1,659.59	$2,511.89	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $2,511.89 / $5,495.41	Professional	$2,089.30	$2,511.89	$5,495.41
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $15,488.17	Facility	$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18,197.01 / $21,877.62 / $21,877.62	Professional	$18,197.01	$21,877.62	$21,877.62
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $3,715.35	Professional	$32.36	$33.11	$3,715.35
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 $2,344.23 / $3,090.30 / $5,011.87	Facility	$2,344.23	$3,090.30	$5,011.87
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $3,090.30 / $6,456.54	Professional	$1,995.26	$3,090.30	$6,456.54
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,128.31 / $8,128.31 / $8,128.31	Professional	$8,128.31	$8,128.31	$8,128.31
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,511.89 / $3,548.13	Professional	$1,995.26	$2,511.89	$3,548.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $5,623.41 / $17,378.01	Facility	$1,698.24	$5,623.41	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,754.23 / $5,495.41	Professional	$2,041.74	$2,754.23	$5,495.41

California rates for HCPCS 43122