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 $2.34 / $138.04 / $575.44	Facility	$2.34	$138.04	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.87 / $5.89 / $3,388.44	Professional	$0.87	$5.89	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $63.10 / $158.49	Facility	$50.12	$63.10	$158.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.32 / $0.55 / $1.10	Professional	$0.32	$0.55	$1.10
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $57.54 / $125.89	Facility	$38.02	$57.54	$125.89
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $97.72 / $269.15	Professional	$75.86	$97.72	$269.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $72.44 / $72.44	Facility	$58.88	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.32 / $0.49 / $1.05	Professional	$0.32	$0.49	$1.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $398.11 / $831.76	Professional	$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Facility	$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,025.60 / $6,025.60 / $6,025.60	Professional	$6,025.60	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	$60.26	$60.26	$60.26
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional	$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.31 / $0.44 / $0.66	Facility	$0.31	$0.44	$0.66
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.32 / $0.47 / $1.20	Professional	$0.32	$0.47	$1.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $91.20 / $128.82	Facility	$74.13	$91.20	$128.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.38 / $25.12 / $70.79	Professional	$0.38	$25.12	$70.79

California rates for HCPCS 96549