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 $1,584.89 / $5,888.44 / $16,595.87	Facility	$1,584.89	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $257.04 / $1,000.00	Professional	$181.97	$257.04	$1,000.00
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 $190.55 / $263.03 / $512.86	Professional	$190.55	$263.03	$512.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,311.31 / $6,606.93	Facility	$85.11	$3,311.31	$6,606.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $616.60	Professional	$204.17	$309.03	$616.60
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $776.25	Facility	$331.13	$436.52	$776.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $288.40 / $524.81	Professional	$194.98	$288.40	$524.81
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $218.78 / $407.38	Professional	$158.49	$218.78	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $269.15 / $489.78	Professional	$173.78	$269.15	$489.78
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $19,498.45 / $19,498.45	Facility	$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $2,137.96 / $2,137.96	Professional	$1,819.70	$2,137.96	$2,137.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $363.08	Professional	$32.36	$33.11	$363.08
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 $190.55 / $281.84 / $457.09	Facility	$190.55	$281.84	$457.09
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $295.12 / $575.44	Professional	$194.98	$295.12	$575.44
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $831.76	Professional	$602.56	$602.56	$831.76
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $223.87 / $338.84	Professional	$162.18	$223.87	$338.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $1,479.11 / $6,025.60	Facility	$446.68	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $234.42 / $467.74	Professional	$162.18	$234.42	$467.74

California rates for HCPCS 42180