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 $1,071.52 / $9,772.37 / $19,952.62	Facility	$1,071.52	$9,772.37	$19,952.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $398.11	Professional	$72.44	$104.71	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $204.17	Professional	$154.88	$154.88	$204.17
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $95.50 / $436.52	Facility	$75.86	$95.50	$436.52
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $269.15	Professional	$85.11	$125.89	$269.15
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,000.00 / $2,041.74	Facility	$85.11	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $114.82 / $245.47	Professional	$72.44	$114.82	$245.47
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $69.18	Facility	$57.54	$57.54	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $245.47	Professional	$81.28	$109.65	$245.47
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $102.33 / $141.25	Professional	$79.43	$102.33	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $181.97	Professional	$70.79	$104.71	$181.97
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,288.25	Facility	$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $776.25 / $776.25	Professional	$660.69	$776.25	$776.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $128.82	Professional	$77.62	$77.62	$128.82
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $112.20 / $173.78	Facility	$83.18	$112.20	$173.78
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $109.65 / $223.87	Professional	$77.62	$109.65	$223.87
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $288.40	Professional	$239.88	$239.88	$288.40
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,548.82 / $6,456.54	Facility	$489.78	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $95.50 / $229.09	Professional	$64.57	$95.50	$229.09

California rates for HCPCS 54235