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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $2,630.27 / $12,882.50	Facility		$158.49	$2,630.27	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $93.33 / $371.54	Professional		$42.66	$93.33	$371.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $107.15 / $162.18	Professional		$52.48	$107.15	$162.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $89.13 / $263.03	Professional		$43.65	$89.13	$263.03
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $169.82 / $269.15	Professional	50	$85.11	$169.82	$269.15
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,466.84 / $8,912.51	Facility		$85.11	$4,466.84	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $89.13 / $194.98	Professional		$54.95	$89.13	$194.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $95.50 / $213.80	Professional		$54.95	$95.50	$213.80
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $104.71 / $199.53	Professional		$64.57	$104.71	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $134.90 / $263.03	Professional		$57.54	$134.90	$263.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $28,840.32 / $28,840.32	Facility		$2,454.71	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $933.25 / $1,096.48	Professional		$120.23	$933.25	$1,096.48
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $181.97	Professional		$107.15	$107.15	$181.97
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $102.33 / $194.98	Facility		$54.95	$102.33	$194.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $97.72 / $245.47	Professional		$54.95	$97.72	$245.47
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $416.87	Professional		$199.53	$199.53	$416.87
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $141.25 / $194.98	Professional		$58.88	$141.25	$194.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,548.82 / $6,456.54	Facility		$575.44	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $213.80	Professional		$48.98	$89.13	$213.80

California rates for HCPCS 11042