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 $794.33 / $3,981.07 / $15,135.61	Facility	$794.33	$3,981.07	$15,135.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $269.15 / $933.25	Professional	$141.25	$269.15	$933.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $288.40 / $389.05	Professional	$234.42	$288.40	$389.05
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,022.64	Facility	$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $281.84 / $691.83	Professional	$177.83	$281.84	$691.83
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,548.13 / $6,760.83	Facility	$85.11	$3,548.13	$6,760.83
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $269.15 / $602.56	Professional	$169.82	$269.15	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility	$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $562.34	Professional	$199.53	$302.00	$562.34
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $218.78 / $446.68	Professional	$100.00	$218.78	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $323.59 / $602.56	Professional	$173.78	$323.59	$602.56
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $2,754.23	Facility	$141.25	$141.25	$2,754.23
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,238.72 / $2,570.40 / $2,570.40	Professional	$2,238.72	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $436.52	Professional	$257.04	$257.04	$436.52
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $269.15 / $467.74	Facility	$165.96	$269.15	$467.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $645.65	Professional	$194.98	$316.23	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $1,000.00	Professional	$645.65	$645.65	$1,000.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $162.18 / $338.84	Professional	$104.71	$162.18	$338.84
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 $162.18 / $257.04 / $549.54	Professional	$162.18	$257.04	$549.54

California rates for HCPCS 12042