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 $4.79 / $4.79 / $4.79	Facility	$4.79	$4.79	$4.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $4.17 / $4.79	Professional	$1.00	$4.17	$4.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.10 / $1.10 / $83.18	Professional	$1.10	$1.10	$83.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.36 / $0.45 / $1.12	Facility	$0.36	$0.45	$1.12
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.48 / $0.48 / $1.58	Professional	$0.48	$0.48	$1.58
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.12 / $1.51 / $2.29	Facility	$1.12	$1.51	$2.29
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.26 / $2.04 / $4.07	Professional	$1.26	$2.04	$4.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.55 / $0.55 / $0.55	Professional	$0.55	$0.55	$0.55
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.12 / $1.23 / $1.51	Professional	$1.12	$1.23	$1.51
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.00 / $1.35 / $120.23	Professional	$1.00	$1.35	$120.23
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 $5.62 / $8.32 / $8.32	Professional	$5.62	$8.32	$8.32
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1.10 / $1.10 / $1.10	Professional	$1.10	$1.10	$1.10
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 $0.65 / $1.12 / $1.55	Facility	$0.65	$1.12	$1.55
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.55 / $0.55 / $1.07	Professional	$0.55	$0.55	$1.07
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.04 / $2.04 / $2.04	Professional	$2.04	$2.04	$2.04
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.76 / $0.91 / $1.29	Professional	$0.76	$0.91	$1.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.42 / $0.49 / $1.12	Professional	$0.42	$0.49	$1.12

California rates for HCPCS A6454