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 $13.49 / $36.31 / $72.44	Facility	$13.49	$36.31	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $6.03 / $25.12	Professional	$3.98	$6.03	$25.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.09 / $3.98 / $4.47	Professional	$3.09	$3.98	$4.47
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.72 / $15.14 / $32.36	Facility	$3.72	$15.14	$32.36
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $5.75 / $18.20	Professional	$3.16	$5.75	$18.20
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $51.29 / $102.33	Facility	$14.79	$51.29	$102.33
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $7.41 / $20.89	Professional	$5.13	$7.41	$20.89
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $11.48 / $23.99	Facility	$4.90	$11.48	$23.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $7.76 / $16.22	Professional	$4.27	$7.76	$16.22
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $6.46 / $10.23	Professional	$5.13	$6.46	$10.23
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $6.46 / $14.79	Professional	$5.13	$6.46	$14.79
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $141.25	Facility	$79.43	$79.43	$141.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $3.89 / $7.76	Professional	$3.89	$3.89	$7.76
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.37 / $7.76 / $19.50	Facility	$5.37	$7.76	$19.50
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $7.76 / $16.22	Professional	$4.27	$7.76	$16.22
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	$22.91	$22.91	$22.91
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $5.75 / $8.71	Professional	$5.13	$5.75	$8.71
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.88 / $4.47 / $6.46	Facility	$2.88	$4.47	$6.46
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $3.89 / $13.18	Professional	$2.69	$3.89	$13.18

California rates for HCPCS 85004