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 $33.88 / $33.88 / $223.87	Facility	$33.88	$33.88	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $50.12 / $123.03	Professional	$34.67	$50.12	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $83.18	Professional	$25.12	$39.81	$83.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $23.44 / $58.88	Facility	$18.62	$23.44	$58.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $33.88 / $57.54	Professional	$18.62	$33.88	$57.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $53.70 / $120.23	Professional	$37.15	$53.70	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	$21.38	$21.38	$21.38
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $57.54 / $70.79	Professional	$52.48	$57.54	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $125.89	Professional	$42.66	$60.26	$125.89
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $316.23	Facility	$295.12	$295.12	$316.23
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $758.58	Professional	$398.11	$398.11	$758.58
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 $36.31 / $52.48 / $144.54	Facility	$36.31	$52.48	$144.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $50.12	Professional	$21.38	$21.38	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $23.44 / $53.70	Professional	$19.50	$23.44	$53.70

California rates for HCPCS Q4038