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 $1.00 / $1.00 / $20.89	Facility	$1.00	$1.00	$20.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $3.02 / $18.20	Professional	$1.00	$3.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.62 / $2.04 / $5.13	Facility	$1.62	$2.04	$5.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.82 / $1.86 / $5.50	Professional	$1.82	$1.86	$5.50
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $6.61 / $10.00	Facility	$5.01	$6.61	$10.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $8.91 / $17.78	Professional	$5.50	$8.91	$17.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Professional	$2.00	$2.00	$2.00
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $5.37 / $6.61	Professional	$4.90	$5.37	$6.61
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $4.90 / $14.45	Professional	$3.98	$4.90	$14.45
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 $23.99 / $35.48 / $35.48	Professional	$23.99	$35.48	$35.48
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $4.79 / $4.79	Professional	$4.79	$4.79	$4.79
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 $2.75 / $4.90 / $6.61	Facility	$2.75	$4.90	$6.61
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $4.68	Professional	$2.00	$2.00	$4.68
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional	$8.91	$8.91	$8.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.82 / $2.14 / $4.90	Professional	$1.82	$2.14	$4.90

California rates for HCPCS A4265