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 $295.12 / $776.25 / $3,090.30	Facility	$295.12	$776.25	$3,090.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $295.12 / $2,137.96	Professional	$218.78	$295.12	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $758.58 / $1,621.81	Facility	$151.36	$758.58	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $134.90 / $537.03	Professional	$23.99	$134.90	$537.03
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $630.96 / $933.25	Facility	$234.42	$630.96	$933.25
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $257.04 / $575.44	Professional	$194.98	$257.04	$575.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $588.84 / $1,096.48	Facility	$245.47	$588.84	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $213.80 / $933.25	Professional	$173.78	$213.80	$933.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $323.59 / $436.52	Professional	$181.97	$323.59	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $354.81 / $562.34	Professional	$295.12	$354.81	$562.34
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $1,548.82	Facility	$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,621.81 / $2,454.71 / $2,454.71	Professional	$1,621.81	$2,454.71	$2,454.71
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional	$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $389.05 / $954.99	Facility	$251.19	$389.05	$954.99
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $323.59 / $912.01	Professional	$173.78	$323.59	$912.01
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional	$1,148.15	$1,148.15	$1,148.15
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $323.59	Professional	$181.97	$251.19	$323.59
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $323.59 / $323.59	Facility	$134.90	$323.59	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $138.04 / $707.95	Professional	$134.90	$138.04	$707.95

California rates for HCPCS 81235