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 $117.49 / $2,818.38 / $13,489.63	Facility		$117.49	$2,818.38	$13,489.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $23.44 / $66.07	Professional		$12.59	$23.44	$66.07
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $21.38 / $40.74 / $102.33	Professional	50	$21.38	$40.74	$102.33
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $38.90 / $114.82	Professional	52	$12.30	$38.90	$114.82
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $4.57 / $11.48 / $64.57	Professional	53	$4.57	$11.48	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $17.78 / $42.66	Professional		$14.13	$17.78	$42.66
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $22.39 / $26.92 / $53.70	Professional	50	$22.39	$26.92	$53.70
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $26.30 / $117.49	Facility		$20.42	$26.30	$117.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $28.18 / $54.95	Professional		$20.89	$28.18	$54.95
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.42 / $26.92 / $42.66	Professional	50	$20.42	$26.92	$42.66
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $1,000.00 / $2,041.74	Facility		$83.18	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $20.89 / $44.67	Professional		$13.80	$20.89	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $18.62 / $46.77	Professional		$13.80	$18.62	$46.77
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.45 / $28.18	Professional		$10.96	$14.45	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $23.99 / $44.67	Professional		$18.62	$23.99	$44.67
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $97.72	Facility		$54.95	$56.23	$97.72
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $134.90 / $134.90	Professional		$112.20	$134.90	$134.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $23.44 / $34.67	Facility		$15.49	$23.44	$34.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $19.05 / $42.66	Professional		$13.80	$19.05	$42.66
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $17.38 / $24.55	Professional		$12.02	$17.38	$24.55
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 $11.22 / $17.38 / $51.29	Professional		$11.22	$17.38	$51.29
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $44.67 / $79.43 / $85.11	Professional	50	$44.67	$79.43	$85.11

California rates for HCPCS 69209