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 $131.83 / $1,905.46 / $2,691.53	Facility	$131.83	$1,905.46	$2,691.53
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $245.47 / $1,905.46	Professional	$131.83	$245.47	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $676.08 / $1,445.44	Facility	$134.90	$676.08	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $186.21 / $489.78	Professional	$154.88	$186.21	$489.78
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $676.08 / $851.14	Facility	$208.93	$676.08	$851.14
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $245.47 / $741.31	Professional	$169.82	$245.47	$741.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $524.81 / $977.24	Facility	$218.78	$524.81	$977.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $851.14	Professional	$154.88	$194.98	$851.14
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $295.12 / $389.05	Professional	$257.04	$295.12	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $323.59 / $512.86	Professional	$263.03	$323.59	$512.86
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Facility	$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $2,187.76 / $2,187.76	Professional	$1,445.44	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $346.74 / $851.14	Facility	$190.55	$346.74	$851.14
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $309.03 / $812.83	Professional	$154.88	$309.03	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Professional	$1,023.29	$1,023.29	$1,023.29
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $288.40 / $436.52	Professional	$234.42	$288.40	$436.52
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $288.40 / $288.40	Facility	$123.03	$288.40	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $630.96	Professional	$123.03	$123.03	$630.96

California rates for HCPCS 81225