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 $3,715.35 / $10,000.00 / $21,379.62	Facility	$3,715.35	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $660.69 / $3,162.28	Professional	$512.86	$660.69	$3,162.28
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 $549.54 / $707.95 / $1,412.54	Professional	$549.54	$707.95	$1,412.54
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 $588.84 / $851.14 / $1,621.81	Professional	$588.84	$851.14	$1,621.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $3,388.44 / $5,623.41	Facility	$758.58	$3,388.44	$5,623.41
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $724.44 / $1,412.54	Professional	$501.19	$724.44	$1,412.54
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $645.65 / $954.99	Professional	$630.96	$645.65	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $630.96 / $1,318.26	Professional	$512.86	$630.96	$1,318.26
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 $8,912.51 / $8,912.51 / $8,912.51	Professional	$8,912.51	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $831.76	Professional	$32.36	$33.11	$831.76
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 $549.54 / $741.31 / $1,318.26	Facility	$549.54	$741.31	$1,318.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $724.44 / $1,479.11	Professional	$489.78	$724.44	$1,479.11
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional	$1,949.84	$1,949.84	$1,949.84
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $891.25 / $1,348.96	Professional	$562.34	$891.25	$1,348.96
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 $446.68 / $616.60 / $1,258.93	Professional	$446.68	$616.60	$1,258.93

California rates for HCPCS 42220