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 $3,548.13 / $9,549.93 / $19,054.61	Facility	$3,548.13	$9,549.93	$19,054.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $398.11 / $1,288.25	Professional	$257.04	$398.11	$1,288.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional	$223.87	$223.87	$223.87
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 $269.15 / $354.81 / $676.08	Professional	$269.15	$354.81	$676.08
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $6,606.93 / $13,182.57	Facility	$85.11	$6,606.93	$13,182.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $398.11 / $758.58	Professional	$275.42	$398.11	$758.58
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 $257.04 / $346.74 / $676.08	Professional	$257.04	$346.74	$676.08
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $288.40 / $398.11	Professional	$169.82	$288.40	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $288.40 / $741.31	Professional	$234.42	$288.40	$741.31
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $16,982.44 / $33,884.42	Facility	$16,982.44	$16,982.44	$33,884.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,290.87 / $2,290.87	Professional	$1,995.26	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $389.05	Professional	$32.36	$33.11	$389.05
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 $257.04 / $346.74 / $575.44	Facility	$257.04	$346.74	$575.44
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $354.81 / $691.83	Professional	$257.04	$354.81	$691.83
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,128.31 / $8,128.31 / $8,128.31	Facility	$8,128.31	$8,128.31	$8,128.31
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Professional	$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $7,413.10 / $14,791.08	Facility	$3,467.37	$7,413.10	$14,791.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $288.40 / $575.44	Professional	$213.80	$288.40	$575.44

California rates for HCPCS 42825