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 $19.95 / $87.10 / $371.54	Facility		$19.95	$87.10	$371.54
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $52.48 / $144.54 / $346.74	Facility	CQ	$52.48	$144.54	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $20.89 / $120.23	Professional		$14.45	$20.89	$120.23
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $21.38 / $21.88 / $43.65	Professional	CQ	$21.38	$21.88	$43.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$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 $19.95 / $45.71 / $100.00	Professional		$19.95	$45.71	$100.00
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $75.86 / $120.23	Facility		$35.48	$75.86	$120.23
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $30.90 / $67.61	Professional		$23.44	$30.90	$67.61
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 $18.62 / $29.51 / $61.66	Professional		$18.62	$29.51	$61.66
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $14.45 / $44.67	Professional		$10.72	$14.45	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $32.36 / $56.23	Professional		$27.54	$32.36	$56.23
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 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 $32.36 / $40.74 / $239.88	Professional		$32.36	$40.74	$239.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.85 / $70.79	Professional		$12.30	$15.85	$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 $19.95 / $32.36 / $47.86	Facility		$19.95	$32.36	$47.86
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $30.20 / $72.44	Professional		$18.62	$30.20	$72.44
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $100.00	Professional		$10.96	$10.96	$100.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $23.44 / $34.67	Professional		$13.49	$23.44	$34.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $33.11	Facility		$28.84	$28.84	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $29.51 / $63.10	Professional		$21.88	$29.51	$63.10

California rates for HCPCS 97116