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 $91.20 / $91.20 / $91.20	Facility	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $91.20 / $346.74	Professional	$79.43	$91.20	$346.74
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $138.04 / $588.84	Facility	$117.49	$138.04	$588.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $141.25 / $263.03	Professional	$100.00	$141.25	$263.03
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $426.58	Facility	$87.10	$87.10	$426.58
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $269.15	Professional	$100.00	$147.91	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $234.42	Professional	$89.13	$117.49	$234.42
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $87.10 / $117.49	Professional	$85.11	$87.10	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $87.10 / $208.93	Professional	$70.79	$87.10	$208.93
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $758.58	Facility	$549.54	$549.54	$758.58
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $977.24 / $977.24	Professional	$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $125.89	Professional	$32.36	$33.11	$125.89
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional	$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $229.09	Facility	$83.18	$114.82	$229.09
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $234.42	Professional	$89.13	$123.03	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	$295.12	$295.12	$295.12
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $112.20 / $165.96	Professional	$69.18	$112.20	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $186.21	Professional	$70.79	$95.50	$186.21

California rates for HCPCS 90997