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 $2.24 / $2.24 / $2.24	Facility	$2.24	$2.24	$2.24
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.05 / $2.24 / $2.24	Professional	$1.05	$2.24	$2.24
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.18 / $0.23 / $0.56	Facility	$0.18	$0.23	$0.56
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.20 / $0.21 / $0.72	Professional	$0.20	$0.21	$0.72
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.56 / $0.76 / $1.12	Facility	$0.56	$0.76	$1.12
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.49 / $0.98 / $1.95	Professional	$0.49	$0.98	$1.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.30 / $0.31 / $0.38	Facility	$0.30	$0.31	$0.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.26 / $0.26 / $0.34	Professional	$0.26	$0.26	$0.34
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.42 / $0.56 / $0.71	Professional	$0.42	$0.56	$0.71
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.34 / $0.52 / $1.00	Professional	$0.34	$0.52	$1.00
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 $3.72 / $3.72 / $3.72	Professional	$3.72	$3.72	$3.72
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.76 / $32.36 / $33.11	Professional	$0.76	$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 $0.16 / $0.49 / $0.69	Facility	$0.16	$0.49	$0.69
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.26 / $0.26 / $0.50	Professional	$0.26	$0.26	$0.50
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.98 / $0.98 / $0.98	Professional	$0.98	$0.98	$0.98
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.42 / $0.42 / $0.47	Professional	$0.42	$0.42	$0.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.14 / $0.21 / $0.34	Facility	$0.14	$0.21	$0.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.20 / $0.24 / $0.55	Professional	$0.20	$0.24	$0.55

California rates for HCPCS A4481