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 $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 $83.18 / $131.83 / $380.19	Professional		$83.18	$131.83	$380.19
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $218.78 / $218.78 / $630.96	Professional	50	$218.78	$218.78	$630.96
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional	50	$389.05	$389.05	$389.05
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $154.88 / $338.84	Professional		$97.72	$154.88	$338.84
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $138.04 / $190.55 / $288.40	Professional	50	$138.04	$190.55	$288.40
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,096.48 / $2,089.30	Facility		$85.11	$1,096.48	$2,089.30
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $162.18 / $331.13	Professional		$87.10	$162.18	$331.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $144.54 / $316.23	Professional		$93.33	$144.54	$316.23
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $89.13 / $173.78	Professional		$56.23	$89.13	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $131.83 / $245.47	Professional		$79.43	$131.83	$245.47
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,000.00 / $1,000.00	Professional		$870.96	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $169.82	Professional		$102.33	$102.33	$169.82
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $141.25 / $229.09	Facility		$87.10	$141.25	$229.09
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $144.54 / $295.12	Professional		$91.20	$144.54	$295.12
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $389.05	Professional		$275.42	$275.42	$389.05
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $81.28 / $138.04	Professional		$57.54	$81.28	$138.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $2,884.03 / $7,943.28	Facility		$1,318.26	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $295.12	Professional		$75.86	$125.89	$295.12

California rates for HCPCS 55000