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 $52.48 / $52.48 / $512.86	Facility	$52.48	$52.48	$512.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $53.70 / $446.68	Professional	$41.69	$53.70	$446.68
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $51.29 / $229.09	Facility	$39.81	$51.29	$229.09
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $53.70 / $151.36	Professional	$52.48	$53.70	$151.36
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $173.78 / $275.42	Facility	$97.72	$173.78	$275.42
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $218.78 / $436.52	Professional	$112.20	$218.78	$436.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $66.07 / $66.07	Facility	$54.95	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $66.07	Professional	$48.98	$48.98	$66.07
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $69.18 / $144.54	Professional	$54.95	$69.18	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $194.98	Professional	$72.44	$107.15	$194.98
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility	$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Professional	$691.83	$691.83	$691.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	$100.00	$100.00	$100.00
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 $30.20 / $100.00 / $144.54	Facility	$30.20	$100.00	$144.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $107.15	Professional	$48.98	$48.98	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	$218.78	$218.78	$218.78
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $107.15	Professional	$54.95	$70.79	$107.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $43.65 / $120.23	Facility	$7.24	$43.65	$120.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $52.48 / $125.89	Professional	$40.74	$52.48	$125.89

California rates for HCPCS L1040