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 / $22,908.68	Facility	$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $954.99 / $3,548.13	Professional	$794.33	$954.99	$3,548.13
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 $758.58 / $1,047.13 / $2,137.96	Professional	$758.58	$1,047.13	$2,137.96
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 $1,000.00 / $1,412.54 / $2,630.27	Professional	$1,000.00	$1,412.54	$2,630.27
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $3,467.37 / $7,413.10	Facility	$630.96	$3,467.37	$7,413.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,096.48 / $2,089.30	Professional	$676.08	$1,096.48	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $954.99 / $1,288.25	Professional	$630.96	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $912.01 / $1,905.46	Professional	$724.44	$912.01	$1,905.46
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $16,982.44	Facility	$54.95	$56.23	$16,982.44
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 / $1,202.26	Professional	$32.36	$33.11	$1,202.26
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 $812.83 / $1,122.02 / $1,905.46	Facility	$812.83	$1,122.02	$1,905.46
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,122.02 / $2,187.76	Professional	$645.65	$1,122.02	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $2,691.53 / $2,691.53	Professional	$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $954.99 / $1,348.96	Professional	$776.25	$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 $676.08 / $954.99 / $1,862.09	Professional	$676.08	$954.99	$1,862.09

California rates for HCPCS 42227