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 $1,479.11 / $1,905.46 / $9,332.54	Professional	$1,479.11	$1,905.46	$9,332.54
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 $1,778.28 / $2,454.71 / $4,897.79	Professional	$1,778.28	$2,454.71	$4,897.79
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,943.28 / $16,982.44	Facility	$85.11	$7,943.28	$16,982.44
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,621.81 / $2,344.23 / $4,677.35	Professional	$1,621.81	$2,344.23	$4,677.35
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $27,542.29 / $27,542.29 / $27,542.29	Facility	$27,542.29	$27,542.29	$27,542.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,089.30 / $4,466.84	Professional	$1,513.56	$2,089.30	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,698.24 / $2,290.87	Professional	$1,174.90	$1,698.24	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,778.28 / $4,466.84	Professional	$1,348.96	$1,778.28	$4,466.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $42,657.95 / $42,657.95 / $109,647.82	Facility	$42,657.95	$42,657.95	$109,647.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $16,982.44	Professional	$16,982.44	$16,982.44	$16,982.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $2,398.83	Professional	$2,398.83	$2,398.83	$2,398.83
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 $1,548.82 / $2,041.74 / $3,388.44	Facility	$1,548.82	$2,041.74	$3,388.44
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,137.96 / $4,365.16	Professional	$1,513.56	$2,137.96	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,370.32 / $5,370.32 / $5,370.32	Professional	$5,370.32	$5,370.32	$5,370.32
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,778.28 / $2,511.89	Professional	$1,380.38	$1,778.28	$2,511.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,760.83 / $12,022.64 / $26,915.35	Facility	$6,760.83	$12,022.64	$26,915.35
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,737.80 / $3,801.89	Professional	$1,288.25	$1,737.80	$3,801.89

California rates for HCPCS 21243