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 $457.09 / $2,951.21 / $7,413.10	Facility		$457.09	$2,951.21	$7,413.10
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $2,238.72	Facility	52	$1,047.13	$1,047.13	$2,238.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $436.52 / $977.24	Professional		$194.98	$436.52	$977.24
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $199.53 / $416.87 / $831.76	Professional	52	$199.53	$416.87	$831.76
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $70.79 / $144.54 / $245.47	Professional	53	$70.79	$144.54	$245.47
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $239.88 / $537.03	Professional		$177.83	$239.88	$537.03
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $45.71 / $66.07 / $158.49	Professional	52	$45.71	$66.07	$158.49
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $151.36 / $169.82 / $177.83	Professional	53	$151.36	$169.82	$177.83
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $1,949.84 / $5,128.61	Facility		$741.31	$1,949.84	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $416.87 / $724.44	Professional		$257.04	$416.87	$724.44
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $275.42 / $354.81	Facility		$229.09	$275.42	$354.81
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $501.19 / $630.96	Professional		$380.19	$501.19	$630.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $724.44 / $2,691.53	Facility		$501.19	$724.44	$2,691.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $457.09 / $851.14	Professional		$245.47	$457.09	$851.14
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	53	$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $489.78 / $933.25	Professional		$208.93	$489.78	$933.25
Kaiser Permanente Facility/Professional Professional Modifier 22 Typical Low / Median / Typical High $549.54 / $691.83 / $1,479.11	Professional	22	$549.54	$691.83	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $158.49 / $204.17 / $436.52	Professional	52	$158.49	$204.17	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $158.49 / $204.17 / $562.34	Professional	53	$158.49	$204.17	$562.34
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $2,884.03 / $2,884.03	Facility		$1,258.93	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $602.56 / $1,023.29	Professional		$204.17	$602.56	$1,023.29
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $2,344.23 / $4,786.30	Facility		$537.03	$2,344.23	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $426.58 / $812.83	Professional		$208.93	$426.58	$812.83

Georgia rates for HCPCS 45380