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 $1,000.00 / $1,000.00 / $9,549.93	Facility	$1,000.00	$1,000.00	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,000.00 / $6,165.95	Professional	$831.76	$1,000.00	$6,165.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,348.96 / $1,819.70	Professional	$933.25	$1,348.96	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $1,230.27 / $5,248.07	Facility	$954.99	$1,230.27	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,148.15 / $3,388.44	Professional	$1,047.13	$1,148.15	$3,388.44
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $3,235.94 / $5,248.07	Facility	$1,318.26	$3,235.94	$5,248.07
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $4,073.80 / $8,317.64	Professional	$2,089.30	$4,073.80	$8,317.64
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility	$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $1,047.13	Professional	$758.58	$758.58	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,659.59 / $2,691.53	Professional	$1,318.26	$1,659.59	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $2,041.74 / $3,467.37	Professional	$1,348.96	$2,041.74	$3,467.37
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,120.11 / $9,120.11 / $9,120.11	Facility	$9,120.11	$9,120.11	$9,120.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,715.19 / $15,848.93 / $15,848.93	Professional	$10,715.19	$15,848.93	$15,848.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $1,778.28 / $1,778.28	Professional	$1,778.28	$1,778.28	$1,778.28
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 $977.24 / $1,949.84 / $2,754.23	Facility	$977.24	$1,949.84	$2,754.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $1,737.80	Professional	$758.58	$758.58	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,168.69 / $4,168.69 / $4,168.69	Professional	$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,737.80 / $2,238.72	Professional	$1,318.26	$1,737.80	$2,238.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $812.83 / $2,238.72	Facility	$138.04	$812.83	$2,238.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,000.00 / $2,290.87	Professional	$758.58	$1,000.00	$2,290.87

California rates for HCPCS L4631