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 $3,311.31 / $8,511.38 / $19,952.62	Facility	$3,311.31	$8,511.38	$19,952.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $891.25 / $3,162.28	Professional	$660.69	$891.25	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,025.60 / $10,715.19 / $17,782.79	Facility	$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $912.01 / $1,819.70	Professional	$676.08	$912.01	$1,819.70
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $6,456.54 / $13,182.57	Facility	$85.11	$6,456.54	$13,182.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,122.02 / $2,187.76	Professional	$758.58	$1,122.02	$2,187.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $3,467.37 / $6,165.95	Facility	$660.69	$3,467.37	$6,165.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $977.24 / $1,778.28	Professional	$645.65	$977.24	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $1,380.38	Professional	$549.54	$741.31	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $891.25 / $1,584.89	Professional	$588.84	$891.25	$1,584.89
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 $6,165.95 / $7,244.36 / $7,244.36	Professional	$6,165.95	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,230.27	Professional	$32.36	$33.11	$1,230.27
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 / $954.99 / $1,548.82	Facility	$676.08	$954.99	$1,548.82
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $977.24 / $1,905.46	Professional	$645.65	$977.24	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $2,754.23	Professional	$2,137.96	$2,137.96	$2,754.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $758.58 / $1,174.90	Professional	$549.54	$758.58	$1,174.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $7,244.36 / $14,791.08	Facility	$3,467.37	$7,244.36	$14,791.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $831.76 / $1,584.89	Professional	$575.44	$831.76	$1,584.89

California rates for HCPCS 42260