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 $2,398.83 / $6,456.54 / $16,982.44	Facility	$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $870.96 / $3,235.94	Professional	$707.95	$870.96	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $6,165.95 / $13,489.63	Facility	$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $851.14 / $1,819.70	Professional	$562.34	$851.14	$1,819.70
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,466.84 / $8,912.51	Facility	$85.11	$4,466.84	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,122.02 / $2,187.76	Professional	$776.25	$1,122.02	$2,187.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $933.25 / $1,698.24	Facility	$537.03	$933.25	$1,698.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $954.99 / $1,905.46	Professional	$562.34	$954.99	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $870.96 / $1,122.02	Professional	$478.63	$870.96	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $831.76 / $1,737.80	Professional	$660.69	$831.76	$1,737.80
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,786.30 / $28,840.32 / $28,840.32	Facility	$4,786.30	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,495.41 / $6,309.57 / $6,309.57	Professional	$5,495.41	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,071.52	Professional	$32.36	$33.11	$1,071.52
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 $645.65 / $933.25 / $1,513.56	Facility	$645.65	$933.25	$1,513.56
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $954.99 / $1,995.26	Professional	$537.03	$954.99	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,511.89	Professional	$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $794.33 / $1,047.13	Professional	$616.60	$794.33	$1,047.13
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 $602.56 / $831.76 / $1,659.59	Professional	$602.56	$831.76	$1,659.59

California rates for HCPCS 42955