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 $2,137.96 / $6,309.57 / $16,595.87	Facility	$2,137.96	$6,309.57	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $218.78 / $758.58	Professional	$131.83	$218.78	$758.58
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 $144.54 / $208.93 / $426.58	Professional	$144.54	$208.93	$426.58
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,677.35 / $9,120.11	Facility	$85.11	$4,677.35	$9,120.11
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $223.87 / $457.09	Professional	$144.54	$223.87	$457.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $446.68 / $891.25	Facility	$213.80	$446.68	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $457.09	Professional	$147.91	$234.42	$457.09
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $338.84	Professional	$120.23	$162.18	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $426.58	Professional	$128.82	$223.87	$426.58
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,995.26	Facility	$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,819.70 / $1,819.70	Professional	$1,548.82	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $302.00	Professional	$32.36	$33.11	$302.00
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 $141.25 / $223.87 / $380.19	Facility	$141.25	$223.87	$380.19
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $245.47 / $489.78	Professional	$147.91	$245.47	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $724.44	Professional	$446.68	$446.68	$724.44
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $169.82 / $263.03	Professional	$120.23	$169.82	$263.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,265.80 / $9,549.93	Facility	$1,949.84	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $389.05	Professional	$120.23	$194.98	$389.05

California rates for HCPCS 42104