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 $5.01 / $37.15 / $120.23	Facility	$5.01	$37.15	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $67.61	Professional	$7.94	$10.00	$67.61
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $6.61 / $12.88	Professional	$5.37	$6.61	$12.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $25.12 / $53.70	Facility	$6.17	$25.12	$53.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $24.55 / $75.86	Professional	$5.25	$24.55	$75.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $75.86 / $169.82	Facility	$24.55	$75.86	$169.82
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $12.30 / $34.67	Professional	$8.51	$12.30	$34.67
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $19.05 / $39.81	Facility	$8.13	$19.05	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.05 / $52.48	Professional	$14.79	$19.05	$52.48
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $10.72 / $17.38	Professional	$9.55	$10.72	$17.38
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Professional	$15.85	$15.85	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $10.72 / $24.55	Professional	$8.51	$10.72	$24.55
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility	$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $23.44 / $44.67	Professional	$9.77	$23.44	$44.67
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $10.23 / $20.89	Professional	$6.46	$10.23	$20.89
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $15.14 / $34.67	Facility	$12.30	$15.14	$34.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $17.78 / $52.48	Professional	$8.51	$17.78	$52.48
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	$38.02	$38.02	$38.02
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $20.89 / $34.67	Professional	$16.98	$20.89	$34.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.37 / $9.33 / $12.02	Facility	$5.37	$9.33	$12.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $6.46 / $23.99	Professional	$4.47	$6.46	$23.99

California rates for HCPCS 84165