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 $19.05 / $19.05 / $186.21	Facility	$19.05	$19.05	$186.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $30.90 / $117.49	Professional	$19.05	$30.90	$117.49
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $19.50 / $48.98	Facility	$15.49	$19.50	$48.98
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $27.54 / $47.86	Professional	$15.49	$27.54	$47.86
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $44.67 / $100.00	Professional	$30.90	$44.67	$100.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	$17.78	$17.78	$17.78
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $47.86 / $58.88	Professional	$43.65	$47.86	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $45.71 / $114.82	Professional	$38.90	$45.71	$114.82
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $436.52	Professional	$316.23	$316.23	$436.52
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 $27.54 / $43.65 / $89.13	Facility	$27.54	$43.65	$89.13
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $41.69	Professional	$17.78	$17.78	$41.69
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $19.50 / $44.67	Professional	$16.22	$19.50	$44.67

California rates for HCPCS Q4042