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 $9.33 / $9.33 / $17.38	Facility	$9.33	$9.33	$17.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $8.32	Professional	$1.00	$1.00	$8.32
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $1.32 / $2.51	Professional	$1.26	$1.32	$2.51
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.78 / $0.98 / $2.45	Facility	$0.78	$0.98	$2.45
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.02 / $1.02 / $3.02	Professional	$1.02	$1.02	$3.02
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.29 / $3.02 / $4.57	Facility	$2.29	$3.02	$4.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $3.98 / $8.13	Professional	$2.04	$3.98	$8.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.12 / $1.51 / $1.51	Facility	$1.12	$1.51	$1.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.29 / $1.29 / $1.58	Professional	$1.29	$1.29	$1.58
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.74 / $2.40 / $2.95	Professional	$1.74	$2.40	$2.95
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.32 / $2.00 / $3.63	Professional	$1.32	$2.00	$3.63
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 $12.88 / $16.22 / $16.22	Professional	$12.88	$16.22	$16.22
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $3.72 / $3.72	Professional	$3.72	$3.72	$3.72
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 $0.72 / $2.19 / $2.95	Facility	$0.72	$2.19	$2.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.29 / $1.29 / $2.45	Professional	$1.29	$1.29	$2.45
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $4.07 / $4.07	Professional	$4.07	$4.07	$4.07
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $3.02 / $5.50	Professional	$1.26	$3.02	$5.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.18 / $0.98 / $1.35	Facility	$0.18	$0.98	$1.35
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.95 / $1.12 / $2.51	Professional	$0.95	$1.12	$2.51

California rates for HCPCS A4351