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 $3,311.31 / $8,912.51 / $22,387.21	Facility	$3,311.31	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $239.88 / $1,023.29	Professional	$173.78	$239.88	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $8,128.31 / $15,848.93	Facility	$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $251.19 / $478.63	Professional	$190.55	$251.19	$478.63
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $6,165.95 / $12,589.25	Facility	$85.11	$6,165.95	$12,589.25
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $288.40 / $549.54	Professional	$199.53	$288.40	$549.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $1,659.59 / $3,548.13	Facility	$660.69	$1,659.59	$3,548.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $263.03 / $512.86	Professional	$190.55	$263.03	$512.86
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $223.87 / $302.00	Professional	$117.49	$223.87	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $218.78 / $630.96	Professional	$177.83	$218.78	$630.96
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $33,884.42 / $33,884.42	Facility	$8,317.64	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,698.24 / $1,698.24	Professional	$1,445.44	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $288.40	Professional	$32.36	$33.11	$288.40
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 $186.21 / $257.04 / $407.38	Facility	$186.21	$257.04	$407.38
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $269.15 / $512.86	Professional	$190.55	$269.15	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Professional	$630.96	$630.96	$630.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,235.94 / $7,079.46 / $14,454.40	Facility	$3,235.94	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $208.93 / $426.58	Professional	$154.88	$208.93	$426.58

California rates for HCPCS 42835