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 $1,071.52 / $4,786.30 / $13,182.57	Facility		$1,071.52	$4,786.30	$13,182.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $169.82 / $707.95	Professional		$67.61	$169.82	$707.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $69.18 / $602.56	Professional		$33.88	$69.18	$602.56
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $173.78 / $436.52	Professional		$83.18	$173.78	$436.52
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,019.95 / $6,606.93	Facility		$85.11	$3,019.95	$6,606.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $177.83 / $398.11	Professional		$83.18	$177.83	$398.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $645.65 / $1,258.93	Facility		$398.11	$645.65	$1,258.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $190.55 / $512.86	Professional		$81.28	$190.55	$512.86
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $91.20 / $575.44	Professional		$72.44	$91.20	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $316.23 / $616.60	Professional		$69.18	$316.23	$616.60
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $19,498.45	Facility		$2,884.03	$2,884.03	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,344.23 / $2,344.23	Professional		$1,995.26	$2,344.23	$2,344.23
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
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 $74.13 / $173.78 / $489.78	Facility		$74.13	$173.78	$489.78
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $190.55 / $588.84	Professional		$79.43	$190.55	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $933.25	Professional		$234.42	$234.42	$933.25
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $100.00 / $363.08	Professional		$69.18	$100.00	$363.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $2,691.53 / $7,585.78	Facility		$1,023.29	$2,691.53	$7,585.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $165.96 / $416.87	Professional		$64.57	$165.96	$416.87

California rates for HCPCS 45331