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 $33.88 / $38.90 / $45.71	Facility	$33.88	$38.90	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $39.81 / $77.62	Professional	$30.20	$39.81	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.88 / $112.20	Professional	$25.12	$33.88	$112.20
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $93.33	Facility	$85.11	$85.11	$93.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $91.20 / $154.88	Professional	$32.36	$91.20	$154.88
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	$27.54	$27.54	$27.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $48.98 / $81.28	Professional	$33.88	$48.98	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $57.54	Professional	$28.18	$38.90	$57.54
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $52.48 / $74.13	Professional	$35.48	$52.48	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $67.61	Professional	$33.11	$44.67	$67.61
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $295.12 / $295.12	Professional	$218.78	$295.12	$295.12
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional	$45.71	$45.71	$45.71
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $43.65 / $58.88	Professional	$33.88	$43.65	$58.88
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $46.77 / $66.07	Facility	$35.48	$46.77	$66.07
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $58.88	Professional	$28.18	$38.90	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	$128.82	$128.82	$128.82
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $48.98 / $58.88	Professional	$43.65	$48.98	$58.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $39.81 / $42.66	Facility	$36.31	$39.81	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $85.11	Professional	$31.62	$42.66	$85.11

California rates for HCPCS 96138