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 $50.12 / $89.13 / $269.15	Facility	$50.12	$89.13	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $32.36 / $107.15	Professional	$22.91	$32.36	$107.15
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $83.18 / $177.83	Facility	$16.60	$83.18	$177.83
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $26.30 / $75.86	Professional	$14.45	$26.30	$75.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $158.49 / $426.58	Facility	$56.23	$158.49	$426.58
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $30.20 / $95.50	Professional	$21.38	$30.20	$95.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $63.10 / $120.23	Facility	$25.12	$63.10	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $32.36 / $72.44	Professional	$19.05	$32.36	$72.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $35.48 / $57.54	Professional	$28.84	$35.48	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $35.48 / $81.28	Professional	$28.84	$35.48	$81.28
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	$169.82	$169.82	$169.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $42.66	Professional	$21.38	$21.38	$42.66
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $91.20	Facility	$26.30	$39.81	$91.20
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.12 / $72.44	Professional	$19.05	$25.12	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	$125.89	$125.89	$125.89
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $32.36 / $48.98	Professional	$28.84	$32.36	$48.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $21.38 / $35.48	Facility	$16.22	$21.38	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $20.89 / $69.18	Professional	$15.14	$20.89	$69.18

California rates for HCPCS 85055