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 $21.88 / $53.70 / $109.65	Facility	$21.88	$53.70	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.88 / $72.44	Professional	$10.00	$12.88	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	$10.47	$10.47	$10.47
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.13 / $40.74 / $87.10	Facility	$8.13	$40.74	$87.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $12.02 / $35.48	Professional	$7.08	$12.02	$35.48
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $69.18 / $151.36	Facility	$25.70	$69.18	$151.36
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $10.96 / $37.15	Professional	$7.59	$10.96	$37.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $30.90 / $58.88	Facility	$11.48	$30.90	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $12.30 / $31.62	Professional	$6.92	$12.30	$31.62
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $17.38 / $28.18	Professional	$10.47	$17.38	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $17.38 / $39.81	Professional	$14.13	$17.38	$39.81
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $120.23	Facility	$83.18	$83.18	$120.23
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $8.71 / $17.38	Professional	$8.71	$8.71	$17.38
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $17.78 / $44.67	Facility	$11.75	$17.78	$44.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $10.47 / $34.67	Professional	$6.92	$10.47	$34.67
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	$61.66	$61.66	$61.66
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $17.78 / $29.51	Professional	$14.13	$17.78	$29.51
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $10.47 / $17.38	Facility	$7.08	$10.47	$17.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $7.94 / $33.11	Professional	$5.50	$7.94	$33.11

California rates for HCPCS 85612