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 $2,137.96 / $6,606.93 / $16,595.87	Facility	$2,137.96	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $295.12 / $794.33	Professional	$128.82	$295.12	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional	$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,548.13 / $6,025.60 / $13,489.63	Facility	$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $338.84 / $794.33	Professional	$165.96	$338.84	$794.33
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,786.30 / $8,912.51	Facility	$85.11	$4,786.30	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $288.40 / $660.69	Professional	$141.25	$288.40	$660.69
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $1,202.26 / $1,445.44	Facility	$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $309.03 / $630.96	Professional	$144.54	$309.03	$630.96
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $181.97 / $436.52	Professional	$134.90	$181.97	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $295.12 / $524.81	Professional	$123.03	$295.12	$524.81
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,623.41 / $28,840.32 / $28,840.32	Facility	$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $3,548.13	Professional	$2,398.83	$2,398.83	$3,548.13
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $416.87	Professional	$251.19	$251.19	$416.87
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $309.03 / $549.54	Facility	$144.54	$309.03	$549.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $302.00 / $630.96	Professional	$138.04	$302.00	$630.96
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $4,570.88 / $4,570.88	Facility	$4,570.88	$4,570.88	$4,570.88
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $977.24	Professional	$426.58	$426.58	$977.24
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $213.80 / $331.13	Professional	$123.03	$213.80	$331.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $7,244.36 / $15,135.61	Facility	$3,715.35	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $275.42 / $630.96	Professional	$125.89	$275.42	$630.96

California rates for HCPCS 52005