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 $8.13 / $8.13 / $8.13	Facility	$8.13	$8.13	$8.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.00 / $8.13	Professional	$1.00	$1.00	$8.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Professional	$2.00	$2.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.74 / $0.93 / $2.34	Facility	$0.74	$0.93	$2.34
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.05 / $2.69	Professional	$1.00	$1.05	$2.69
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.00 / $2.57 / $3.98	Facility	$2.00	$2.57	$3.98
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.78 / $3.47 / $7.08	Professional	$1.78	$3.47	$7.08
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.07 / $1.20 / $1.32	Facility	$1.07	$1.20	$1.32
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.02 / $1.02 / $1.26	Professional	$1.02	$1.02	$1.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.51 / $2.00 / $2.57	Professional	$1.51	$2.00	$2.57
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.70 / $3.16	Professional	$1.00	$1.70	$3.16
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 $10.00 / $14.79 / $14.79	Professional	$10.00	$14.79	$14.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.95 / $2.95 / $2.95	Professional	$2.95	$2.95	$2.95
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 $0.59 / $1.86 / $2.51	Facility	$0.59	$1.86	$2.51
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.02 / $1.02 / $1.95	Professional	$1.02	$1.02	$1.95
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $3.55 / $3.55	Professional	$3.55	$3.55	$3.55
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.51 / $2.24 / $3.80	Professional	$1.51	$2.24	$3.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.55 / $0.78 / $0.95	Facility	$0.55	$0.78	$0.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.76 / $0.91 / $2.04	Professional	$0.76	$0.91	$2.04

California rates for HCPCS A5055