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 $2,137.96 / $6,309.57 / $16,982.44	Facility	$2,137.96	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $316.23 / $954.99	Professional	$218.78	$316.23	$954.99
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional	$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,022.64	Facility	$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $630.96	Professional	$234.42	$316.23	$630.96
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,466.84 / $8,912.51	Facility	$85.11	$4,466.84	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $398.11 / $776.25	Professional	$257.04	$398.11	$776.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $891.25 / $1,230.27	Facility	$467.74	$891.25	$1,230.27
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $346.74 / $630.96	Professional	$239.88	$346.74	$630.96
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $257.04 / $501.19	Professional	$109.65	$257.04	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $323.59 / $588.84	Professional	$204.17	$323.59	$588.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $28,840.32 / $28,840.32	Facility	$3,715.35	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,570.40 / $2,570.40	Professional	$2,187.76	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $436.52	Professional	$32.36	$33.11	$436.52
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 $218.78 / $338.84 / $562.34	Facility	$218.78	$338.84	$562.34
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $363.08 / $707.95	Professional	$239.88	$363.08	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $1,000.00	Professional	$741.31	$741.31	$1,000.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $199.53 / $331.13	Professional	$138.04	$199.53	$331.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,073.80 / $9,549.93	Facility	$1,949.84	$4,073.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $288.40 / $562.34	Professional	$194.98	$288.40	$562.34

California rates for HCPCS 42405