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 / $8,709.64 / $19,952.62	Facility	$3,311.31	$8,709.64	$19,952.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $323.59 / $977.24	Professional	$229.09	$323.59	$977.24
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	$616.60	$616.60	$616.60
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 $245.47 / $323.59 / $630.96	Professional	$245.47	$323.59	$630.96
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 $257.04 / $371.54 / $691.83	Professional	$257.04	$371.54	$691.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $1,778.28 / $3,548.13	Facility	$660.69	$1,778.28	$3,548.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $323.59 / $616.60	Professional	$245.47	$323.59	$616.60
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $223.87 / $354.81	Professional	$117.49	$223.87	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $263.03 / $645.65	Professional	$213.80	$263.03	$645.65
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 $1,819.70 / $2,089.30 / $2,089.30	Professional	$1,819.70	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $354.81	Professional	$32.36	$33.11	$354.81
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 $234.42 / $323.59 / $512.86	Facility	$234.42	$323.59	$512.86
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $331.13 / $630.96	Professional	$239.88	$331.13	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Professional	$794.33	$794.33	$794.33
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $208.93 / $269.15	Professional	$147.91	$208.93	$269.15
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 $194.98 / $263.03 / $537.03	Professional	$194.98	$263.03	$537.03

California rates for HCPCS 42836