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 $18.62 / $83.18 / $162.18	Facility	$18.62	$83.18	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.80 / $91.20	Professional	$10.00	$13.80	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $8.51 / $21.88	Professional	$6.92	$8.51	$21.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $32.36 / $69.18	Facility	$7.94	$32.36	$69.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $12.02 / $51.29	Professional	$6.76	$12.02	$51.29
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $87.10 / $218.78	Facility	$31.62	$87.10	$218.78
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $15.49 / $44.67	Professional	$10.96	$15.49	$44.67
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $23.99 / $50.12	Facility	$10.47	$23.99	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $15.85 / $34.67	Professional	$8.13	$15.85	$34.67
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $13.80 / $21.88	Professional	$12.30	$13.80	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $13.80 / $33.88	Professional	$10.96	$13.80	$33.88
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility	$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $12.88 / $23.99	Professional	$11.75	$12.88	$23.99
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $16.60	Professional	$8.32	$8.32	$16.60
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $16.60 / $42.66	Facility	$11.48	$16.60	$42.66
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $12.59 / $34.67	Professional	$8.13	$12.59	$34.67
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 $10.96 / $14.13 / $23.44	Professional	$10.96	$14.13	$23.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $9.33 / $13.80	Facility	$6.17	$9.33	$13.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $8.32 / $34.67	Professional	$5.75	$8.32	$34.67

California rates for HCPCS 80197