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 $2.00 / $3.02 / $45.71	Facility	$2.00	$3.02	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $6.03 / $39.81	Professional	$3.02	$6.03	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional	$8.91	$8.91	$8.91
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.31 / $4.27 / $10.47	Facility	$3.31	$4.27	$10.47
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $4.68 / $13.80	Professional	$4.47	$4.68	$13.80
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $14.45 / $21.88	Facility	$10.96	$14.45	$21.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $19.50 / $38.90	Professional	$10.00	$19.50	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $6.31 / $6.92	Facility	$5.25	$6.31	$6.92
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $5.37 / $6.46	Professional	$5.37	$5.37	$6.46
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $10.96 / $14.45	Professional	$8.51	$10.96	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $9.55 / $17.38	Professional	$5.89	$9.55	$17.38
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 $53.70 / $66.07 / $66.07	Professional	$53.70	$66.07	$66.07
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	$10.47	$10.47	$10.47
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 $3.09 / $9.55 / $13.18	Facility	$3.09	$9.55	$13.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $5.37 / $10.23	Professional	$5.37	$5.37	$10.23
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Professional	$19.50	$19.50	$19.50
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $12.30 / $20.89	Professional	$8.51	$12.30	$20.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.72 / $3.98 / $4.90	Facility	$0.72	$3.98	$4.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $4.68 / $10.96	Professional	$3.98	$4.68	$10.96

California rates for HCPCS A5121