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 $1,548.82 / $5,888.44 / $16,595.87	Facility	$1,548.82	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $173.78 / $660.69	Professional	$109.65	$173.78	$660.69
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 $114.82 / $165.96 / $323.59	Professional	$114.82	$165.96	$323.59
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,365.16 / $8,912.51	Facility	$85.11	$4,365.16	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $194.98 / $380.19	Professional	$123.03	$194.98	$380.19
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $338.84 / $891.25	Facility	$125.89	$338.84	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $363.08	Professional	$120.23	$186.21	$363.08
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $128.82 / $245.47	Professional	$66.07	$128.82	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $169.82 / $309.03	Professional	$109.65	$169.82	$309.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,659.59	Facility	$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,318.26 / $1,318.26	Professional	$1,148.15	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $223.87	Professional	$32.36	$33.11	$223.87
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 $109.65 / $173.78 / $288.40	Facility	$109.65	$173.78	$288.40
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $398.11	Professional	$120.23	$194.98	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $524.81	Professional	$371.54	$371.54	$524.81
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $109.65 / $173.78	Professional	$69.18	$109.65	$173.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $2,754.23 / $7,585.78	Facility	$1,023.29	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $147.91 / $288.40	Professional	$97.72	$147.91	$288.40

California rates for HCPCS 42800