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 $354.81 / $3,467.37 / $14,454.40	Facility	$354.81	$3,467.37	$14,454.40
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $794.33	Professional	$131.83	$213.80	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $165.96 / $223.87	Professional	$104.71	$165.96	$223.87
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 $138.04 / $194.98 / $380.19	Professional	$138.04	$194.98	$380.19
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,311.31 / $6,606.93	Facility	$85.11	$3,311.31	$6,606.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $457.09	Professional	$147.91	$234.42	$457.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $316.23 / $758.58	Facility	$158.49	$316.23	$758.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $223.87 / $407.38	Professional	$144.54	$223.87	$407.38
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $169.82 / $309.03	Professional	$72.44	$169.82	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $389.05	Professional	$131.83	$208.93	$389.05
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,238.72 / $19,498.45	Facility	$1,995.26	$2,238.72	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,621.81 / $1,621.81	Professional	$1,380.38	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $269.15	Professional	$32.36	$33.11	$269.15
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 $138.04 / $208.93 / $346.74	Facility	$138.04	$208.93	$346.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $234.42 / $457.09	Professional	$144.54	$234.42	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $630.96	Professional	$446.68	$446.68	$630.96
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $218.78	Professional	$91.20	$131.83	$218.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $1,479.11 / $6,025.60	Facility	$416.87	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $354.81	Professional	$117.49	$177.83	$354.81

California rates for HCPCS 42700