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 $2,344.23 / $6,456.54 / $16,982.44	Facility	$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $363.08 / $1,000.00	Professional	$165.96	$363.08	$1,000.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $134.90	Professional	$72.44	$72.44	$134.90
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $6,165.95 / $13,489.63	Facility	$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $371.54 / $741.31	Professional	$239.88	$371.54	$741.31
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,265.80 / $8,912.51	Facility	$85.11	$4,265.80	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $489.78 / $1,000.00	Professional	$199.53	$489.78	$1,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,096.48 / $2,238.72	Facility	$537.03	$1,096.48	$2,238.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $338.84 / $851.14	Professional	$186.21	$338.84	$851.14
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $245.47 / $851.14	Professional	$169.82	$245.47	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $436.52 / $912.01	Professional	$154.88	$436.52	$912.01
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,011.87 / $28,840.32	Facility	$5,011.87	$5,011.87	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,162.28 / $3,715.35 / $3,715.35	Professional	$3,162.28	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $616.60	Professional	$32.36	$33.11	$616.60
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 $177.83 / $323.59 / $794.33	Facility	$177.83	$323.59	$794.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $371.54 / $977.24	Professional	$186.21	$371.54	$977.24
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $1,445.44	Professional	$549.54	$549.54	$1,445.44
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $398.11 / $562.34	Professional	$154.88	$398.11	$562.34
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,168.69 / $9,549.93	Facility	$1,949.84	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $295.12 / $724.44	Professional	$151.36	$295.12	$724.44

California rates for HCPCS 43250