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 / $2.00 / $37.15	Facility	$2.00	$2.00	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.00 / $5.01 / $32.36	Professional	$2.00	$5.01	$32.36
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.82 / $3.55 / $8.91	Facility	$2.82	$3.55	$8.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.80 / $3.80 / $12.02	Professional	$3.80	$3.80	$12.02
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $11.75 / $17.78	Facility	$8.91	$11.75	$17.78
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $15.49 / $31.62	Professional	$9.77	$15.49	$31.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.37 / $4.37	Professional	$4.37	$4.37	$4.37
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $9.55 / $11.75	Professional	$8.71	$9.55	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $8.71 / $25.70	Professional	$5.01	$8.71	$25.70
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 $42.66 / $63.10 / $63.10	Professional	$42.66	$63.10	$63.10
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Professional	$12.30	$12.30	$12.30
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 $5.01 / $8.71 / $12.02	Facility	$5.01	$8.71	$12.02
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $4.37 / $8.32	Professional	$4.37	$4.37	$8.32
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Professional	$15.85	$15.85	$15.85
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $6.76 / $8.32	Professional	$5.25	$6.76	$8.32
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.24 / $3.80 / $8.71	Professional	$3.24	$3.80	$8.71

California rates for HCPCS A6242