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 $616.60 / $616.60 / $5,888.44	Facility	$616.60	$616.60	$5,888.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $616.60 / $5,248.07	Professional	$446.68	$616.60	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $588.84 / $2,691.53	Facility	$467.74	$588.84	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $1,659.59	Professional	$616.60	$616.60	$1,659.59
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $1,995.26 / $3,162.28	Facility	$812.83	$1,995.26	$3,162.28
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $2,511.89 / $5,128.61	Professional	$1,288.25	$2,511.89	$5,128.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $660.69 / $676.08	Facility	$630.96	$660.69	$676.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $660.69	Professional	$478.63	$478.63	$660.69
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $870.96 / $1,659.59	Professional	$691.83	$870.96	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,258.93 / $2,137.96	Professional	$831.76	$1,258.93	$2,137.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,495.41 / $5,495.41 / $5,495.41	Facility	$5,495.41	$5,495.41	$5,495.41
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,317.64 / $8,317.64 / $8,317.64	Professional	$8,317.64	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
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 $371.54 / $1,096.48 / $1,659.59	Facility	$371.54	$1,096.48	$1,659.59
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $1,000.00	Professional	$478.63	$478.63	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,570.40 / $2,570.40 / $2,570.40	Professional	$2,570.40	$2,570.40	$2,570.40
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $891.25 / $1,258.93	Professional	$691.83	$891.25	$1,258.93
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $676.08 / $1,380.38	Facility	$83.18	$676.08	$1,380.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $616.60 / $1,412.54	Professional	$478.63	$616.60	$1,412.54

California rates for HCPCS L5816