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 $467.74 / $2,754.23 / $6,456.54	Facility		$467.74	$2,754.23	$6,456.54
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Facility	52	$2,344.23	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $478.63 / $1,000.00	Professional		$245.47	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $107.15 / $151.36 / $229.09	Professional	53	$107.15	$151.36	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $269.15 / $436.52	Professional		$204.17	$269.15	$436.52
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $245.47 / $416.87 / $467.74	Professional	53	$245.47	$416.87	$467.74
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 $323.59 / $512.86 / $912.01	Professional		$323.59	$512.86	$912.01
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $346.74 / $446.68	Facility		$288.40	$346.74	$446.68
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $524.81 / $660.69	Professional		$398.11	$524.81	$660.69
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 $302.00 / $512.86 / $933.25	Professional		$302.00	$512.86	$933.25
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional	53	$309.03	$309.03	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $562.34 / $1,023.29	Professional		$263.03	$562.34	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier 22 Typical Low / Median / Typical High $691.83 / $870.96 / $1,548.82	Professional	22	$691.83	$870.96	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $199.53 / $257.04 / $457.09	Professional	52	$199.53	$257.04	$457.09
Kaiser Permanente Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $199.53 / $257.04 / $588.84	Professional	53	$199.53	$257.04	$588.84
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 $257.04 / $630.96 / $1,148.15	Professional		$257.04	$630.96	$1,148.15
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 $263.03 / $478.63 / $891.25	Professional		$263.03	$478.63	$891.25

Georgia rates for HCPCS 45385