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 $1.58 / $3.16 / $13.18	Facility	$1.58	$3.16	$13.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.45 / $3.80 / $3.80	Professional	$1.45	$3.80	$3.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $89.13	Professional	$63.10	$63.10	$89.13
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.28 / $0.37 / $0.91	Facility	$0.28	$0.37	$0.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.38 / $0.38 / $1.26	Professional	$0.38	$0.38	$1.26
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.89 / $1.20 / $1.82	Facility	$0.89	$1.20	$1.82
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.62 / $3.31	Professional	$1.00	$1.62	$3.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.45 / $0.45 / $0.45	Professional	$0.45	$0.45	$0.45
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.89 / $1.00 / $1.23	Professional	$0.89	$1.00	$1.23
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.81 / $1.00 / $104.71	Professional	$0.81	$1.00	$104.71
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 $4.47 / $6.61 / $6.61	Professional	$4.47	$6.61	$6.61
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.87 / $0.87 / $0.87	Professional	$0.87	$0.87	$0.87
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 $0.51 / $0.89 / $1.23	Facility	$0.51	$0.89	$1.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.45 / $0.45 / $0.85	Professional	$0.45	$0.45	$0.85
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.66 / $1.66 / $1.66	Professional	$1.66	$1.66	$1.66
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $0.78 / $1.02	Professional	$0.60	$0.78	$1.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.34 / $0.38 / $0.89	Professional	$0.34	$0.38	$0.89

California rates for HCPCS A6453