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 $3.02 / $3.02 / $3.98	Facility	$3.02	$3.02	$3.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.98 / $41.69	Professional	$3.02	$3.98	$41.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $3.89	Professional	$3.72	$3.72	$3.89
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.79 / $4.79 / $5.13	Facility	$4.79	$4.79	$5.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $6.03 / $11.75	Professional	$3.80	$6.03	$11.75
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $5.01 / $9.33	Professional	$4.07	$5.01	$9.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $4.37 / $9.33	Professional	$3.02	$4.37	$9.33
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $4.90 / $7.41	Professional	$3.98	$4.90	$7.41
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $4.47 / $6.46	Professional	$3.63	$4.47	$6.46
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 $30.20 / $39.81 / $39.81	Professional	$30.20	$39.81	$39.81
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $4.37 / $6.61	Professional	$3.55	$4.37	$6.61
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.80 / $4.79 / $7.24	Facility	$3.80	$4.79	$7.24
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $4.47 / $10.72	Professional	$3.02	$4.47	$10.72
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $15.14	Professional	$12.59	$12.59	$15.14
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.01 / $6.61	Professional	$3.63	$5.01	$6.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $5.37	Facility	$3.72	$3.72	$5.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.39 / $4.47 / $10.00	Professional	$3.39	$4.47	$10.00

California rates for HCPCS 96165