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 $2,884.03 / $7,413.10 / $18,197.01	Facility	$2,884.03	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $229.09 / $1,096.48	Professional	$181.97	$229.09	$1,096.48
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 / $245.47 / $478.63	Professional	$190.55	$245.47	$478.63
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $5,128.61 / $10,232.93	Facility	$85.11	$5,128.61	$10,232.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $281.84 / $537.03	Professional	$194.98	$281.84	$537.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $1,584.89 / $2,570.40	Facility	$616.60	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $257.04 / $501.19	Professional	$190.55	$257.04	$501.19
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $295.12	Professional	$117.49	$177.83	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $213.80 / $436.52	Professional	$173.78	$213.80	$436.52
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $45,708.82 / $45,708.82	Facility	$8,317.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,659.59 / $1,659.59	Professional	$1,445.44	$1,659.59	$1,659.59
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $281.84	Professional	$32.36	$33.11	$281.84
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 $186.21 / $263.03 / $512.86	Professional	$186.21	$263.03	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	$616.60	$616.60	$616.60
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $177.83 / $245.47	Professional	$123.03	$177.83	$245.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $7,079.46 / $14,454.40	Facility	$3,090.30	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $204.17 / $426.58	Professional	$151.36	$204.17	$426.58

California rates for HCPCS 42860