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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $40.74 / $107.15	Facility		$11.75	$40.74	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.88 / $57.54	Professional		$10.00	$12.88	$57.54
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $8.51 / $19.05 / $28.18	Professional	CQ	$8.51	$19.05	$28.18
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.76 / $7.76 / $22.91	Professional	CQ	$7.76	$7.76	$22.91
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $33.11 / $75.86	Professional		$11.75	$33.11	$75.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $40.74 / $64.57	Facility		$18.20	$40.74	$64.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $17.38 / $38.02	Professional		$13.18	$17.38	$38.02
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $72.44 / $316.23	Facility		$60.26	$72.44	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $16.22 / $33.11	Professional		$10.23	$16.22	$33.11
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $14.13 / $21.88	Professional		$10.72	$14.13	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $15.49 / $27.54	Professional		$13.18	$15.49	$27.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $100.00 / $100.00	Facility		$89.13	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $95.50 / $120.23	Professional		$16.60	$95.50	$120.23
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.49 / $70.79	Professional		$12.30	$15.49	$70.79
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $39.81 / $70.79	Professional		$3.98	$39.81	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $16.98 / $26.92	Facility		$10.72	$16.98	$26.92
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $16.60 / $38.02	Professional		$10.23	$16.60	$38.02
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $3.98 / $50.12	Professional		$3.98	$3.98	$50.12
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $20.89 / $30.20	Professional		$13.49	$20.89	$30.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $14.45 / $16.22	Facility		$14.45	$14.45	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.49 / $34.67	Professional		$12.30	$15.49	$34.67

California rates for HCPCS 97012