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 $3,715.35 / $10,000.00 / $23,988.33	Facility		$3,715.35	$10,000.00	$23,988.33
Aetna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $4,168.69 / $4,168.69 / $4,168.69	Facility	22	$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $6,025.60 / $17,782.79 / $34,673.69	Facility	50	$6,025.60	$17,782.79	$34,673.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $562.34 / $1,862.09	Professional		$407.38	$562.34	$1,862.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $389.05 / $1,819.70	Professional		$323.59	$389.05	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,548.13 / $6,165.95 / $13,489.63	Facility		$3,548.13	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $691.83 / $1,445.44	Professional		$512.86	$691.83	$1,445.44
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,943.28 / $14,454.40	Facility		$85.11	$7,943.28	$14,454.40
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $588.84 / $1,230.27	Professional		$398.11	$588.84	$1,230.27
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $537.03 / $1,230.27	Professional		$416.87	$537.03	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $398.11 / $537.03	Professional		$354.81	$398.11	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $446.68 / $1,000.00	Professional		$338.84	$446.68	$1,000.00
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $15,488.17	Facility		$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,019.95 / $3,388.44 / $3,388.44	Professional		$3,019.95	$3,388.44	$3,388.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $489.78 / $794.33	Facility		$416.87	$489.78	$794.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $537.03 / $1,122.02	Professional		$407.38	$537.03	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $446.68 / $602.56	Professional		$323.59	$446.68	$602.56
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,309.57 / $12,022.64 / $25,118.86	Facility		$6,309.57	$12,022.64	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $524.81 / $1,202.26	Professional		$346.74	$524.81	$1,202.26

California rates for HCPCS 52356