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 $2,691.53 / $8,317.64 / $16,982.44	Facility	$2,691.53	$8,317.64	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $512.86 / $1,621.81	Professional	$281.84	$512.86	$1,621.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $288.40 / $338.84	Professional	$239.88	$288.40	$338.84
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 $302.00 / $426.58 / $776.25	Professional	$302.00	$426.58	$776.25
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $5,495.41 / $11,220.18	Facility	$85.11	$5,495.41	$11,220.18
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $436.52 / $831.76	Professional	$302.00	$436.52	$831.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $3,467.37 / $6,165.95	Facility	$630.96	$3,467.37	$6,165.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $724.44	Professional	$281.84	$380.19	$724.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $302.00 / $407.38	Professional	$169.82	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $302.00 / $630.96	Professional	$245.47	$302.00	$630.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $45,708.82	Facility	$16,982.44	$16,982.44	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,691.53	Professional	$2,511.89	$2,511.89	$2,691.53
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $416.87	Professional	$32.36	$33.11	$416.87
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 $281.84 / $380.19 / $630.96	Facility	$281.84	$380.19	$630.96
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $389.05 / $758.58	Professional	$275.42	$389.05	$758.58
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,265.80 / $4,265.80 / $4,265.80	Facility	$4,265.80	$4,265.80	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Professional	$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $7,413.10 / $14,791.08	Facility	$3,388.44	$7,413.10	$14,791.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $316.23 / $630.96	Professional	$229.09	$316.23	$630.96

California rates for HCPCS 42820