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 $23.99 / $134.90 / $446.68	Facility		$23.99	$134.90	$446.68
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $74.13 / $199.53 / $478.63	Facility	CQ	$74.13	$199.53	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $39.81 / $288.40	Professional		$16.98	$39.81	$288.40
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $21.38 / $26.92 / $47.86	Professional	CO	$21.38	$26.92	$47.86
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $25.70 / $43.65 / $83.18	Professional	CQ	$25.70	$43.65	$83.18
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $17.78 / $17.78 / $51.29	Professional	CQ	$17.78	$17.78	$51.29
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 $22.39 / $52.48 / $109.65	Professional		$22.39	$52.48	$109.65
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $85.11 / $144.54	Facility		$42.66	$85.11	$144.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $36.31 / $81.28	Professional		$27.54	$36.31	$81.28
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 $21.38 / $34.67 / $72.44	Professional		$21.38	$34.67	$72.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $15.49 / $51.29	Professional		$11.75	$15.49	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $36.31 / $63.10	Professional		$30.90	$36.31	$63.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $218.78 / $218.78	Facility		$44.67	$218.78	$218.78
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	CQ	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $44.67 / $269.15	Professional		$36.31	$44.67	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $16.98 / $70.79	Professional		$13.49	$16.98	$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 $23.44 / $36.31 / $54.95	Facility		$23.44	$36.31	$54.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $35.48 / $79.43	Professional		$21.38	$35.48	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $117.49	Professional		$10.96	$10.96	$117.49
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $25.12 / $38.02	Professional		$14.79	$25.12	$38.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $114.82	Facility		$32.36	$32.36	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $74.13	Professional		$25.70	$34.67	$74.13

California rates for HCPCS 97112