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 $1,737.80 / $6,025.60 / $16,982.44	Facility	$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $389.05 / $1,778.28	Professional	$309.03	$389.05	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,022.64	Facility	$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $870.96	Professional	$346.74	$467.74	$870.96
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,548.13 / $6,760.83	Facility	$85.11	$3,548.13	$6,760.83
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $537.03 / $1,000.00	Professional	$371.54	$537.03	$1,000.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $1,258.93 / $2,818.38	Facility	$398.11	$1,258.93	$2,818.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $436.52 / $812.83	Professional	$323.59	$436.52	$812.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $331.13 / $446.68	Professional	$154.88	$331.13	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $331.13 / $741.31	Professional	$269.15	$331.13	$741.31
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,309.57 / $19,498.45 / $19,498.45	Facility	$6,309.57	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,398.83 / $2,818.38 / $2,818.38	Professional	$2,398.83	$2,818.38	$2,818.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $478.63	Professional	$32.36	$33.11	$478.63
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 $316.23 / $446.68 / $691.83	Facility	$316.23	$446.68	$691.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $446.68 / $870.96	Professional	$323.59	$446.68	$870.96
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,071.52 / $1,071.52 / $1,071.52	Professional	$1,071.52	$1,071.52	$1,071.52
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $269.15 / $346.74	Professional	$194.98	$269.15	$346.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,073.80 / $9,549.93	Facility	$1,949.84	$4,073.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $371.54 / $707.95	Professional	$269.15	$371.54	$707.95

California rates for HCPCS 42900