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 $851.14 / $1,047.13 / $3,715.35	Professional	$851.14	$1,047.13	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $8,128.31 / $15,848.93	Facility	$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,122.02 / $2,290.87	Professional	$831.76	$1,122.02	$2,290.87
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 $1,047.13 / $1,479.11 / $2,754.23	Professional	$1,047.13	$1,479.11	$2,754.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $3,467.37 / $5,623.41	Facility	$758.58	$3,467.37	$5,623.41
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,148.15 / $2,238.72	Professional	$724.44	$1,148.15	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $1,023.29 / $1,380.38	Professional	$630.96	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,000.00 / $2,041.74	Professional	$794.33	$1,000.00	$2,041.74
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 $9,549.93 / $9,549.93 / $9,549.93	Professional	$9,549.93	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,288.25	Professional	$32.36	$33.11	$1,288.25
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 $870.96 / $1,202.26 / $2,041.74	Facility	$870.96	$1,202.26	$2,041.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,174.90 / $2,398.83	Professional	$691.83	$1,174.90	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $2,884.03	Professional	$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $954.99 / $1,348.96	Professional	$794.33	$954.99	$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 $707.95 / $1,000.00 / $1,995.26	Professional	$707.95	$1,000.00	$1,995.26

California rates for HCPCS 42226