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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.69 / $407.38 / $7,413.10	Facility	$2.69	$407.38	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $2.69 / $4.07	Professional	$1.26	$2.69	$4.07
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.19 / $0.24 / $0.60	Facility	$0.19	$0.24	$0.60
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.22 / $0.41 / $1.70	Professional	$0.22	$0.41	$1.70
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.66 / $0.87 / $1.32	Facility	$0.66	$0.87	$1.32
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.71 / $1.12 / $2.34	Professional	$0.71	$1.12	$2.34
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.31 / $0.31 / $0.31	Professional	$0.31	$0.31	$0.31
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.63 / $0.69 / $0.85	Professional	$0.63	$0.69	$0.85
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.56 / $0.85 / $3.02	Professional	$0.56	$0.85	$3.02
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $85.11	Facility	$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.37 / $4.37	Professional	$4.37	$4.37	$4.37
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.91 / $0.91 / $0.91	Professional	$0.91	$0.91	$0.91
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 $0.35 / $0.63 / $0.85	Facility	$0.35	$0.63	$0.85
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.31 / $0.31 / $1.45	Professional	$0.31	$0.31	$1.45
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.15 / $1.15 / $1.15	Professional	$1.15	$1.15	$1.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.24 / $0.28 / $0.63	Professional	$0.24	$0.28	$0.63

California rates for HCPCS A4216