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 $28.18 / $56.23 / $120.23	Facility	$28.18	$56.23	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $28.84 / $128.82	Professional	$25.70	$28.84	$128.82
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $81.28 / $173.78	Facility	$16.22	$81.28	$173.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $15.14 / $57.54	Professional	$13.49	$15.14	$57.54
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $81.28 / $102.33	Facility	$25.12	$81.28	$102.33
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $154.88	Professional	$52.48	$69.18	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $70.79 / $123.03	Facility	$30.20	$70.79	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $25.70 / $100.00	Professional	$18.62	$25.70	$100.00
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $38.90 / $46.77	Professional	$34.67	$38.90	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $38.90 / $61.66	Professional	$31.62	$38.90	$61.66
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $263.03	Professional	$173.78	$263.03	$263.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	$34.67	$34.67	$34.67
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $41.69 / $102.33	Facility	$28.84	$41.69	$102.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $38.90 / $97.72	Professional	$18.62	$38.90	$97.72
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $34.67 / $34.67	Facility	$14.79	$34.67	$34.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $69.18	Professional	$14.79	$14.79	$69.18

California rates for HCPCS 81254