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 $79.43 / $89.13 / $107.15	Facility	$79.43	$89.13	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $95.50 / $295.12	Professional	$74.13	$95.50	$295.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $144.54	Professional	$63.10	$85.11	$144.54
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $107.15	Facility	$100.00	$100.00	$107.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $245.47	Professional	$81.28	$120.23	$245.47
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $288.40	Facility	$61.66	$87.10	$288.40
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $229.09	Professional	$85.11	$107.15	$229.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Facility	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $151.36	Professional	$72.44	$97.72	$151.36
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $83.18 / $144.54	Professional	$56.23	$83.18	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $83.18 / $125.89	Professional	$64.57	$83.18	$125.89
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $741.31 / $741.31	Professional	$588.84	$741.31	$741.31
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $131.83 / $144.54	Professional	$79.43	$131.83	$144.54
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $107.15 / $144.54	Professional	$93.33	$107.15	$144.54
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $104.71 / $158.49	Facility	$75.86	$104.71	$158.49
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $158.49	Professional	$72.44	$97.72	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $316.23	Professional	$275.42	$275.42	$316.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $89.13 / $123.03	Professional	$64.57	$89.13	$123.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $104.71 / $104.71	Facility	$89.13	$104.71	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $199.53	Professional	$74.13	$102.33	$199.53

California rates for HCPCS 96116