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 $12.88 / $16.98 / $24.55	Facility		$12.88	$16.98	$24.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $16.98 / $56.23	Professional		$10.96	$16.98	$56.23
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $25.12 / $44.67 / $44.67	Professional	25	$25.12	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $18.62 / $34.67	Professional		$12.59	$18.62	$34.67
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $15.14 / $16.98	Facility		$12.30	$15.14	$16.98
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $16.98 / $30.90	Professional		$12.88	$16.98	$30.90
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $19.05 / $35.48	Professional		$13.49	$19.05	$35.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $19.95 / $37.15	Professional		$14.45	$19.95	$37.15
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $19.05 / $24.55	Professional		$12.30	$19.05	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $15.85 / $26.30	Professional		$10.72	$15.85	$26.30
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $15.14 / $24.55	Facility		$10.96	$15.14	$24.55
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $22.91 / $39.81	Professional		$14.79	$22.91	$39.81
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $17.38 / $19.50	Facility		$15.14	$17.38	$19.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $15.49 / $28.84	Professional		$10.72	$15.49	$28.84

California rates for HCPCS 99421