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 $10.96 / $10.96 / $10.96	Facility	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $9.55	Professional	$1.00	$1.00	$9.55
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.93 / $1.20 / $2.95	Facility	$0.93	$1.20	$2.95
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $1.32 / $3.55	Professional	$1.26	$1.32	$3.55
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.63 / $3.55 / $5.37	Facility	$2.63	$3.55	$5.37
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.40 / $4.68 / $9.33	Professional	$2.40	$4.68	$9.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.51 / $1.51 / $1.78	Facility	$1.51	$1.51	$1.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.29 / $1.29 / $1.62	Professional	$1.29	$1.29	$1.62
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $2.63 / $3.47	Professional	$2.04	$2.63	$3.47
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.55 / $2.29 / $4.27	Professional	$1.55	$2.29	$4.27
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 / $18.62 / $18.62	Professional	$12.88	$18.62	$18.62
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.51 / $2.51 / $2.51	Professional	$2.51	$2.51	$2.51
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 $0.74 / $2.34 / $3.39	Facility	$0.74	$2.34	$3.39
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 $4.79 / $4.79 / $4.79	Professional	$4.79	$4.79	$4.79
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $3.02 / $5.01	Professional	$2.04	$3.02	$5.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.18 / $0.98 / $1.17	Facility	$0.18	$0.98	$1.17
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.95 / $1.12 / $2.69	Professional	$0.95	$1.12	$2.69

California rates for HCPCS A5054