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 $9.55 / $35.48 / $109.65	Facility	$9.55	$35.48	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $48.98	Professional	$7.94	$10.00	$48.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $7.24 / $10.72	Professional	$6.61	$7.24	$10.72
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 $5.37 / $9.55 / $36.31	Professional	$5.37	$9.55	$36.31
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $75.86 / $173.78	Facility	$25.12	$75.86	$173.78
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $12.30 / $35.48	Professional	$8.71	$12.30	$35.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $19.05 / $39.81	Facility	$8.32	$19.05	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $12.30 / $27.54	Professional	$6.31	$12.30	$27.54
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
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $10.72 / $24.55	Professional	$8.71	$10.72	$24.55
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $144.54	Facility	$114.82	$114.82	$144.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $12.88	Professional	$6.46	$6.46	$12.88
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $12.88 / $34.67	Facility	$8.91	$12.88	$34.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $10.00 / $27.54	Professional	$6.31	$10.00	$27.54
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 $8.71 / $10.96 / $18.20	Professional	$8.71	$10.96	$18.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $7.41 / $10.72	Facility	$4.90	$7.41	$10.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $6.46 / $22.39	Professional	$4.57	$6.46	$22.39

California rates for HCPCS 85301