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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $40.74 / $416.87	Facility		$30.90	$40.74	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $40.74 / $109.65	Professional		$20.89	$40.74	$109.65
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $95.50 / $95.50	Professional	25	$64.57	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $32.36	Professional		$18.20	$22.91	$32.36
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $40.74	Facility		$38.02	$38.02	$40.74
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $47.86 / $75.86	Professional		$25.70	$47.86	$75.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $66.07 / $91.20	Facility		$22.91	$66.07	$91.20
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $79.43	Professional		$30.20	$44.67	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.90 / $60.26	Professional		$20.42	$30.90	$60.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.47 / $26.92 / $44.67	Professional		$3.47	$26.92	$44.67
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $43.65 / $109.65	Professional		$31.62	$43.65	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $27.54 / $42.66	Professional		$22.39	$27.54	$42.66
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $407.38	Professional		$234.42	$234.42	$407.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $43.65 / $104.71	Professional		$39.81	$43.65	$104.71
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $40.74 / $70.79	Professional		$28.84	$40.74	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $39.81 / $60.26	Facility		$24.55	$39.81	$60.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.90 / $60.26	Professional		$20.42	$30.90	$60.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $89.13	Professional		$79.43	$79.43	$89.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $24.55 / $39.81	Professional		$4.17	$24.55	$39.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $39.81 / $42.66	Facility		$31.62	$39.81	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $37.15 / $66.07	Professional		$21.88	$37.15	$66.07

California rates for HCPCS 90853