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 / $107.15 / $512.86	Facility		$19.95	$107.15	$512.86
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $43.65 / $158.49 / $524.81	Facility	CQ	$43.65	$158.49	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $38.02 / $123.03	Professional		$16.98	$38.02	$123.03
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $17.78 / $104.71 / $407.38	Professional	CO	$17.78	$104.71	$407.38
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $15.49 / $38.90 / $107.15	Professional	CQ	$15.49	$38.90	$107.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $23.99 / $48.98	Professional		$22.39	$23.99	$48.98
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 $20.42 / $53.70 / $100.00	Professional		$20.42	$53.70	$100.00
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $75.86 / $123.03	Facility		$36.31	$75.86	$123.03
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $74.13	Professional		$25.70	$34.67	$74.13
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 / $28.84 / $60.26	Professional		$18.62	$28.84	$60.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $33.88 / $42.66	Professional		$22.39	$33.88	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $30.90 / $60.26	Professional		$25.70	$30.90	$60.26
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $169.82 / $169.82	Facility		$38.02	$169.82	$169.82
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Facility	CQ	$144.54	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $38.02 / $229.09	Professional		$31.62	$38.02	$229.09
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $30.90 / $70.79	Professional		$24.55	$30.90	$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 $19.05 / $30.90 / $46.77	Facility		$19.05	$30.90	$46.77
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $30.20 / $69.18	Professional		$18.62	$30.20	$69.18
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $93.33	Professional		$10.96	$10.96	$93.33
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $69.18	Professional		$28.18	$42.66	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $31.62	Facility		$27.54	$27.54	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $28.84 / $60.26	Professional		$22.91	$28.84	$60.26

California rates for HCPCS 97140