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 $891.25 / $1,096.48 / $4,677.35	Professional	$891.25	$1,096.48	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $11,220.18 / $17,782.79	Facility	$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,148.15 / $2,344.23	Professional	$912.01	$1,148.15	$2,344.23
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,244.36 / $14,454.40	Facility	$85.11	$7,244.36	$14,454.40
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,445.44 / $2,754.23	Professional	$1,000.00	$1,445.44	$2,754.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,778.28 / $3,548.13	Facility	$758.58	$1,778.28	$3,548.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,202.26 / $2,290.87	Professional	$758.58	$1,202.26	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,000.00 / $1,348.96	Professional	$741.31	$1,000.00	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,000.00 / $2,137.96	Professional	$812.83	$1,000.00	$2,137.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $8,317.64 / $42,657.95	Facility	$8,317.64	$8,317.64	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9,332.54 / $9,332.54 / $9,332.54	Professional	$9,332.54	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,380.38	Professional	$32.36	$33.11	$1,380.38
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 $891.25 / $1,230.27 / $1,995.26	Facility	$891.25	$1,230.27	$1,995.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,202.26 / $2,454.71	Professional	$691.83	$1,202.26	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,235.94 / $3,235.94 / $3,235.94	Professional	$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,023.29 / $1,412.54	Professional	$776.25	$1,023.29	$1,412.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $10,964.78 / $25,118.86	Facility	$5,248.07	$10,964.78	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,047.13 / $2,137.96	Professional	$758.58	$1,047.13	$2,137.96

California rates for HCPCS 42205