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 $7.94 / $7.94 / $10.00	Facility	$7.94	$7.94	$10.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.00 / $38.02	Professional	$7.94	$10.00	$38.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $7.76 / $8.91	Professional	$7.76	$7.76	$8.91
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $10.72 / $11.48	Facility	$10.72	$10.72	$11.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $13.18 / $25.70	Professional	$8.51	$13.18	$25.70
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Facility	$43.65	$43.65	$43.65
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $11.22 / $20.42	Professional	$9.12	$11.22	$20.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $9.77 / $20.42	Professional	$7.08	$9.77	$20.42
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $11.48 / $16.98	Professional	$8.51	$11.48	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $10.47 / $15.14	Professional	$8.32	$10.47	$15.14
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	$70.79	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $87.10	Professional	$63.10	$87.10	$87.10
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $9.55 / $14.45	Professional	$7.59	$9.55	$14.45
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.51 / $10.72 / $16.22	Facility	$8.51	$10.72	$16.22
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.00 / $22.91	Professional	$7.08	$10.00	$22.91
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $32.36	Professional	$28.18	$28.18	$32.36
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $11.48 / $15.14	Professional	$8.32	$11.48	$15.14
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $11.75	Facility	$7.94	$7.94	$11.75
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $9.77 / $23.44	Professional	$7.59	$9.77	$23.44

California rates for HCPCS 96164