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 $25.70 / $151.36 / $537.03	Facility		$25.70	$151.36	$537.03
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $107.15 / $263.03 / $363.08	Facility	CO	$107.15	$263.03	$363.08
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $85.11 / $186.21 / $416.87	Facility	CQ	$85.11	$186.21	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $45.71 / $239.88	Professional		$18.62	$45.71	$239.88
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $26.92 / $125.89 / $151.36	Professional	CO	$26.92	$125.89	$151.36
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $30.90 / $46.77 / $112.20	Professional	CQ	$30.90	$46.77	$112.20
Ambetter Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $20.89 / $20.89 / $20.89	Professional	CO	$20.89	$20.89	$20.89
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $20.89 / $26.30 / $60.26	Professional	CQ	$20.89	$26.30	$60.26
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 $25.70 / $60.26 / $120.23	Professional		$25.70	$60.26	$120.23
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $91.20 / $162.18	Facility		$45.71	$91.20	$162.18
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $37.15 / $85.11	Professional		$28.18	$37.15	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $85.11 / $316.23	Facility		$60.26	$85.11	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $36.31 / $79.43	Professional		$22.91	$36.31	$79.43
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $14.13 / $56.23	Professional		$10.72	$14.13	$56.23
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $38.90 / $69.18	Professional		$30.20	$38.90	$69.18
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $234.42 / $234.42	Facility		$48.98	$234.42	$234.42
Lucent Health Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	CO	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	CQ	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $295.12	Professional		$38.90	$48.98	$295.12
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.49 / $70.79	Professional		$12.30	$15.49	$70.79
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $70.79	Professional		$30.90	$39.81	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $60.26	Facility		$25.12	$39.81	$60.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $81.28	Professional		$22.91	$37.15	$81.28
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $22.91 / $38.90	Professional		$13.49	$22.91	$38.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $114.82	Facility		$34.67	$34.67	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $37.15 / $83.18	Professional		$26.92	$37.15	$83.18

California rates for HCPCS 97530