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 $19.95 / $56.23 / $114.82	Facility	$19.95	$56.23	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $8.91 / $67.61	Professional	$7.08	$8.91	$67.61
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.89 / $23.99 / $51.29	Facility	$5.89	$23.99	$51.29
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $8.91 / $28.84	Professional	$5.01	$8.91	$28.84
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $72.44 / $162.18	Facility	$23.44	$72.44	$162.18
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $11.48 / $33.11	Professional	$8.13	$11.48	$33.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.76 / $17.78 / $37.15	Facility	$7.76	$17.78	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $11.48 / $25.12	Professional	$6.03	$11.48	$25.12
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $10.23 / $16.22	Professional	$6.17	$10.23	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $10.23 / $22.91	Professional	$8.13	$10.23	$22.91
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $114.82	Facility	$104.71	$104.71	$114.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.13 / $5.13 / $10.23	Professional	$5.13	$5.13	$10.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $12.30 / $33.88	Facility	$8.51	$12.30	$33.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $9.33 / $25.12	Professional	$6.03	$9.33	$25.12
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	$35.48	$35.48	$35.48
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $9.77 / $14.79	Professional	$8.13	$9.77	$14.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.57 / $6.92 / $10.23	Facility	$4.57	$6.92	$10.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $6.17 / $21.38	Professional	$4.27	$6.17	$21.38

California rates for HCPCS 85421