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 $3,467.37 / $8,912.51 / $21,379.62	Facility	$3,467.37	$8,912.51	$21,379.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $933.25 / $4,365.16	Professional	$758.58	$933.25	$4,365.16
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 $831.76 / $1,071.52 / $2,089.30	Professional	$831.76	$1,071.52	$2,089.30
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $6,760.83 / $13,182.57	Facility	$85.11	$6,760.83	$13,182.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,288.25 / $2,454.71	Professional	$912.01	$1,288.25	$2,454.71
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $3,388.44 / $5,623.41	Facility	$660.69	$3,388.44	$5,623.41
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,071.52 / $2,041.74	Professional	$707.95	$1,071.52	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $912.01 / $1,348.96	Professional	$831.76	$912.01	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $831.76 / $1,819.70	Professional	$676.08	$831.76	$1,819.70
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 $7,244.36 / $7,244.36 / $7,244.36	Professional	$7,244.36	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,174.90	Professional	$32.36	$33.11	$1,174.90
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 $776.25 / $1,071.52 / $1,778.28	Facility	$776.25	$1,071.52	$1,778.28
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $1,071.52 / $2,187.76	Professional	$630.96	$1,071.52	$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 $676.08 / $741.31 / $933.25	Professional	$676.08	$741.31	$933.25
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 $660.69 / $912.01 / $1,819.70	Professional	$660.69	$912.01	$1,819.70

California rates for HCPCS 42509