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 $295.12 / $7,079.46 / $19,054.61	Facility		$295.12	$7,079.46	$19,054.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $87.10 / $338.84	Professional		$46.77	$87.10	$338.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	52	$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	53	$28.84	$28.84	$28.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $77.62 / $144.54	Professional		$63.10	$77.62	$144.54
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 $57.54 / $100.00 / $194.98	Professional		$57.54	$100.00	$194.98
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 $53.70 / $95.50 / $199.53	Professional		$53.70	$95.50	$199.53
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $83.18 / $181.97	Professional		$50.12	$83.18	$181.97
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $44.67 / $102.33	Professional		$37.15	$44.67	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $74.13 / $134.90	Professional		$39.81	$74.13	$134.90
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 $537.03 / $630.96 / $630.96	Professional		$537.03	$630.96	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $104.71	Professional		$63.10	$63.10	$104.71
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $77.62 / $131.83	Facility		$46.77	$77.62	$131.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $83.18 / $165.96	Professional		$50.12	$83.18	$165.96
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $223.87	Professional		$151.36	$151.36	$223.87
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $74.13	Professional		$34.67	$48.98	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $1,548.82 / $6,456.54	Facility		$446.68	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $70.79 / $169.82	Professional		$41.69	$70.79	$169.82

California rates for HCPCS 57160