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 $3,981.07 / $10,000.00 / $20,892.96	Facility	$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,122.02 / $5,623.41	Professional	$912.01	$1,122.02	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $11,481.54 / $17,782.79	Facility	$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,548.82 / $3,019.95	Professional	$1,174.90	$1,548.82	$3,019.95
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,762.47 / $15,135.61	Facility	$85.11	$7,762.47	$15,135.61
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,479.11 / $2,951.21	Professional	$1,023.29	$1,479.11	$2,951.21
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,754.40 / $5,754.40 / $5,754.40	Facility	$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,288.25 / $2,754.23	Professional	$954.99	$1,288.25	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,096.48 / $1,479.11	Professional	$831.76	$1,096.48	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,148.15 / $2,238.72	Professional	$870.96	$1,148.15	$2,238.72
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $42,657.95	Facility	$16,982.44	$16,982.44	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11,748.98 / $11,748.98 / $11,748.98	Professional	$11,748.98	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Professional	$1,445.44	$1,445.44	$1,445.44
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 $977.24 / $1,318.26 / $2,238.72	Facility	$977.24	$1,318.26	$2,238.72
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,318.26 / $2,691.53	Professional	$954.99	$1,318.26	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,388.44 / $3,388.44 / $3,388.44	Professional	$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,202.26 / $1,778.28	Professional	$891.25	$1,202.26	$1,778.28
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,760.83 / $11,748.98 / $25,118.86	Facility	$6,760.83	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,071.52 / $2,344.23	Professional	$794.33	$1,071.52	$2,344.23

California rates for HCPCS 21242