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 $2,187.76 / $6,309.57 / $16,982.44	Facility	$2,187.76	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $275.42 / $891.25	Professional	$151.36	$275.42	$891.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $6,165.95 / $13,489.63	Facility	$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $245.47 / $501.19	Professional	$158.49	$245.47	$501.19
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,897.79 / $9,120.11	Facility	$85.11	$4,897.79	$9,120.11
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $575.44	Professional	$169.82	$275.42	$575.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,778.28 / $3,548.13	Facility	$537.03	$1,778.28	$3,548.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $288.40 / $562.34	Professional	$169.82	$288.40	$562.34
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $208.93 / $524.81	Professional	$81.28	$208.93	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $316.23 / $575.44	Professional	$162.18	$316.23	$575.44
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $8,317.64 / $28,840.32	Facility	$8,317.64	$8,317.64	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,570.40 / $2,570.40	Professional	$2,187.76	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $426.58	Professional	$32.36	$33.11	$426.58
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 $162.18 / $281.84 / $512.86	Facility	$162.18	$281.84	$512.86
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $302.00 / $630.96	Professional	$165.96	$302.00	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $954.99	Professional	$512.86	$512.86	$954.99
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $338.84	Professional	$102.33	$154.88	$338.84
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 $138.04 / $234.42 / $489.78	Professional	$138.04	$234.42	$489.78

California rates for HCPCS 42140