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 $12.88 / $61.66 / $190.55	Facility	$12.88	$61.66	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $16.98 / $83.18	Professional	$14.13	$16.98	$83.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $11.48 / $12.88	Professional	$9.33	$11.48	$12.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $43.65 / $93.33	Facility	$10.72	$43.65	$93.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $16.60 / $52.48	Professional	$9.33	$16.60	$52.48
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $109.65 / $295.12	Facility	$42.66	$109.65	$295.12
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $21.38 / $61.66	Professional	$14.79	$21.38	$61.66
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $33.11 / $69.18	Facility	$14.13	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $21.38 / $47.86	Professional	$11.22	$21.38	$47.86
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $18.62 / $30.20	Professional	$16.60	$18.62	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $18.62 / $42.66	Professional	$15.14	$18.62	$42.66
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $100.00	Facility	$89.13	$89.13	$100.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $11.22 / $22.39	Professional	$11.22	$11.22	$22.39
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $22.39 / $56.23	Facility	$15.49	$22.39	$56.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $17.38 / $47.86	Professional	$11.22	$17.38	$47.86
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.05 / $31.62	Professional	$15.14	$19.05	$31.62
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $12.88 / $18.62	Facility	$8.51	$12.88	$18.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $11.22 / $38.02	Professional	$7.94	$11.22	$38.02

California rates for HCPCS 85549