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 $3.02 / $3.02 / $6.31	Facility	$3.02	$3.02	$6.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.29 / $7.08	Professional	$1.00	$1.29	$7.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $7.24 / $18.20	Facility	$5.75	$7.24	$18.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.41 / $1.41 / $8.91	Professional	$1.41	$1.41	$8.91
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $23.44 / $35.48	Facility	$17.78	$23.44	$35.48
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $3.16 / $5.50	Professional	$2.04	$3.16	$5.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.02 / $1.02 / $1.02	Professional	$1.02	$1.02	$1.02
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.41 / $1.55 / $1.91	Professional	$1.41	$1.55	$1.91
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.29 / $1.86 / $10.96	Professional	$1.29	$1.86	$10.96
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 $38.02 / $38.02 / $53.70	Professional	$38.02	$38.02	$53.70
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.14 / $2.14 / $2.14	Professional	$2.14	$2.14	$2.14
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 $1.26 / $1.70 / $15.85	Facility	$1.26	$1.70	$15.85
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.78 / $1.02 / $1.02	Professional	$0.78	$1.02	$1.02
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.24 / $3.24	Professional	$3.24	$3.24	$3.24
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.56 / $1.41 / $9.12	Professional	$0.56	$1.41	$9.12

California rates for HCPCS A4259