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 $3,630.78 / $9,772.37 / $20,892.96	Facility	$3,630.78	$9,772.37	$20,892.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,380.38 / $4,677.35	Professional	$1,000.00	$1,380.38	$4,677.35
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 $1,071.52 / $1,380.38 / $2,691.53	Professional	$1,071.52	$1,380.38	$2,691.53
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $7,413.10 / $15,135.61	Facility	$85.11	$7,413.10	$15,135.61
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,621.81 / $3,090.30	Professional	$1,122.02	$1,621.81	$3,090.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $3,715.35 / $7,413.10	Facility	$758.58	$3,715.35	$7,413.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,348.96 / $2,630.27	Professional	$891.25	$1,348.96	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,122.02 / $1,513.56	Professional	$812.83	$1,122.02	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,122.02 / $3,890.45	Professional	$912.01	$1,122.02	$3,890.45
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $42,657.95	Facility	$16,982.44	$16,982.44	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12,022.64 / $12,022.64 / $12,022.64	Professional	$12,022.64	$12,022.64	$12,022.64
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,548.82	Professional	$32.36	$33.11	$1,548.82
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 $1,000.00 / $1,380.38 / $2,238.72	Facility	$1,000.00	$1,380.38	$2,238.72
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,348.96 / $2,754.23	Professional	$812.83	$1,348.96	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,548.13	Professional	$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,230.27 / $1,737.80	Professional	$912.01	$1,230.27	$1,737.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,370.32 / $11,220.18 / $25,118.86	Facility	$5,370.32	$11,220.18	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,174.90 / $2,398.83	Professional	$851.14	$1,174.90	$2,398.83

California rates for HCPCS 42210