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 $4,168.69 / $10,232.93 / $23,988.33	Facility	$4,168.69	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $812.83 / $3,890.45	Professional	$645.65	$812.83	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $11,481.54 / $18,620.87	Facility	$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $912.01 / $1,778.28	Professional	$707.95	$912.01	$1,778.28
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $9,772.37 / $20,417.38	Facility	$85.11	$9,772.37	$20,417.38
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,096.48 / $2,089.30	Professional	$776.25	$1,096.48	$2,089.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $3,715.35 / $7,413.10	Facility	$812.83	$3,715.35	$7,413.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $912.01 / $1,778.28	Professional	$616.60	$912.01	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $776.25 / $1,047.13	Professional	$602.56	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $758.58 / $2,398.83	Professional	$602.56	$758.58	$2,398.83
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $33,884.42 / $33,884.42	Facility	$16,982.44	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11,481.54 / $11,481.54 / $11,481.54	Professional	$11,481.54	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,000.00	Professional	$32.36	$33.11	$1,000.00
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 $676.08 / $933.25 / $1,584.89	Facility	$676.08	$933.25	$1,584.89
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $912.01 / $1,819.70	Professional	$575.44	$912.01	$1,819.70
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Professional	$2,344.23	$2,344.23	$2,344.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $851.14 / $1,288.25	Professional	$630.96	$851.14	$1,288.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $11,220.18 / $25,118.86	Facility	$5,248.07	$11,220.18	$25,118.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $776.25 / $1,584.89	Professional	$562.34	$776.25	$1,584.89

California rates for HCPCS 42215