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 $1,122.02 / $1,122.02 / $8,128.31	Facility	$1,122.02	$1,122.02	$8,128.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,148.15 / $7,079.46	Professional	$812.83	$1,148.15	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,071.52 / $4,677.35	Facility	$851.14	$1,071.52	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $2,951.21	Professional	$1,122.02	$1,122.02	$2,951.21
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $2,754.23 / $4,365.16	Facility	$1,122.02	$2,754.23	$4,365.16
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $3,467.37 / $7,079.46	Professional	$1,778.28	$3,467.37	$7,079.46
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $1,174.90 / $1,174.90	Facility	$870.96	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $1,174.90	Professional	$851.14	$851.14	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $870.96 / $2,290.87	Professional	$691.83	$870.96	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,698.24 / $2,951.21	Professional	$1,148.15	$1,698.24	$2,951.21
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $10,000.00 / $10,000.00 / $10,000.00	Facility	$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12,589.25 / $14,125.38 / $14,125.38	Professional	$12,589.25	$14,125.38	$14,125.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $1,995.26	Professional	$1,995.26	$1,995.26	$1,995.26
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 $691.83 / $1,819.70 / $2,570.40	Facility	$691.83	$1,819.70	$2,570.40
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $2,089.30	Professional	$851.14	$851.14	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,548.13	Professional	$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $891.25 / $1,698.24	Professional	$691.83	$891.25	$1,698.24
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $1,230.27 / $2,511.89	Facility	$154.88	$1,230.27	$2,511.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,122.02 / $2,187.76	Professional	$870.96	$1,122.02	$2,187.76

California rates for HCPCS L5643