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 $19.05 / $21.88 / $70.79	Facility	$19.05	$21.88	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.12 / $165.96	Professional	$19.05	$25.12	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $27.54 / $141.25	Professional	$15.85	$27.54	$141.25
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $25.12 / $26.92	Facility	$25.12	$25.12	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $30.90 / $58.88	Professional	$19.95	$30.90	$58.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $25.70 / $46.77	Professional	$21.88	$25.70	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $22.91 / $46.77	Professional	$16.98	$22.91	$46.77
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.12 / $37.15	Professional	$19.95	$25.12	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $33.11	Professional	$18.20	$22.91	$33.11
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility	$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $190.55	Professional	$144.54	$190.55	$190.55
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $22.39 / $33.88	Professional	$17.78	$22.39	$33.88
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $24.55 / $35.48	Facility	$19.50	$24.55	$35.48
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $22.91 / $52.48	Professional	$16.98	$22.91	$52.48
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $75.86	Professional	$67.61	$67.61	$75.86
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $25.12 / $33.11	Professional	$18.62	$25.12	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $26.30	Facility	$18.62	$18.62	$26.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $22.91 / $48.98	Professional	$17.38	$22.91	$48.98

California rates for HCPCS 96159