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 $26.30 / $134.90 / $489.78	Facility		$26.30	$134.90	$489.78
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $69.18 / $190.55 / $478.63	Facility	CO	$69.18	$190.55	$478.63
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $53.70 / $199.53 / $588.84	Facility	CQ	$53.70	$199.53	$588.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $50.12 / $199.53	Professional		$17.38	$50.12	$199.53
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $42.66 / $51.29 / $138.04	Professional	CO	$42.66	$51.29	$138.04
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $28.18 / $52.48 / $128.82	Professional	CQ	$28.18	$52.48	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $25.70 / $30.20	Professional		$23.99	$25.70	$30.20
Ambetter Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Professional	CO	$15.85	$15.85	$15.85
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.50 / $19.50 / $23.99	Professional	CQ	$19.50	$19.50	$23.99
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 $21.88 / $48.98 / $100.00	Professional		$21.88	$48.98	$100.00
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $81.28 / $138.04	Facility		$40.74	$81.28	$138.04
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $77.62	Professional		$25.70	$34.67	$77.62
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 $20.42 / $31.62 / $64.57	Professional		$20.42	$31.62	$64.57
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $13.80 / $44.67	Professional		$10.47	$13.80	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $33.11 / $64.57	Professional		$27.54	$33.11	$64.57
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $186.21 / $186.21	Facility		$39.81	$186.21	$186.21
Lucent Health Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	CO	$158.49	$158.49	$158.49
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	CQ	$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $39.81 / $239.88	Professional		$31.62	$39.81	$239.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $15.14 / $70.79	Professional		$12.02	$15.14	$70.79
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $39.81 / $70.79	Professional		$10.96	$39.81	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $33.11 / $48.98	Facility		$21.38	$33.11	$48.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $32.36 / $74.13	Professional		$20.42	$32.36	$74.13
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $75.86 / $102.33	Professional		$10.96	$75.86	$102.33
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $22.91 / $33.88	Professional		$13.18	$22.91	$33.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $114.82	Facility		$28.84	$28.84	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $31.62 / $69.18	Professional		$23.99	$31.62	$69.18

California rates for HCPCS 97110