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 $18.20 / $69.18 / $194.98	Facility	$18.20	$69.18	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $18.20 / $117.49	Professional	$12.88	$18.20	$117.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $12.30	Professional	$10.96	$10.96	$12.30
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $41.69 / $89.13	Facility	$10.23	$41.69	$89.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $15.85 / $60.26	Professional	$8.91	$15.85	$60.26
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $104.71 / $281.84	Facility	$40.74	$104.71	$281.84
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $20.42 / $58.88	Professional	$14.13	$20.42	$58.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $31.62 / $66.07	Facility	$13.49	$31.62	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $20.42 / $44.67	Professional	$10.72	$20.42	$44.67
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $17.78 / $28.84	Professional	$15.85	$17.78	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $17.78 / $40.74	Professional	$14.45	$17.78	$40.74
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $21.38	Professional	$10.72	$10.72	$21.38
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $21.38 / $57.54	Facility	$14.79	$21.38	$57.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $16.60 / $44.67	Professional	$10.72	$16.60	$44.67
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	$63.10	$63.10	$63.10
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $18.20 / $30.20	Professional	$14.45	$18.20	$30.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $12.30 / $17.78	Facility	$8.13	$12.30	$17.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $10.72 / $36.31	Professional	$7.59	$10.72	$36.31

California rates for HCPCS 85240