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 $12.02 / $34.67 / $112.20	Facility		$12.02	$34.67	$112.20
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $51.29 / $263.03 / $457.09	Facility	CQ	$51.29	$263.03	$457.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $14.45 / $52.48	Professional		$7.94	$14.45	$52.48
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $35.48 / $35.48 / $41.69	Professional	CO	$35.48	$35.48	$41.69
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.76 / $11.48 / $29.51	Professional	CQ	$7.76	$11.48	$29.51
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 $10.00 / $25.70 / $75.86	Professional		$10.00	$25.70	$75.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $32.36 / $47.86	Facility		$13.18	$32.36	$47.86
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $14.13 / $31.62	Professional		$10.72	$14.13	$31.62
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 $9.12 / $13.80 / $30.20	Professional		$9.12	$13.80	$30.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $9.33 / $22.39	Professional		$7.08	$9.33	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $15.85 / $27.54	Professional		$13.49	$15.85	$27.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $89.13 / $100.00	Facility		$19.05	$89.13	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	CQ	$75.86	$75.86	$75.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $31.62 / $117.49	Professional		$15.85	$31.62	$117.49
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $10.47 / $70.79	Professional		$8.13	$10.47	$70.79
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $39.81 / $70.79	Professional		$10.00	$39.81	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $15.85 / $24.55	Facility		$9.33	$15.85	$24.55
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $14.13 / $35.48	Professional		$9.12	$14.13	$35.48
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $47.86 / $75.86	Professional		$10.00	$47.86	$75.86
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $14.79 / $20.42	Professional		$8.91	$14.79	$20.42
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 $10.47 / $14.45 / $33.11	Professional		$10.47	$14.45	$33.11

California rates for HCPCS 97035