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 $3,548.13 / $10,000.00 / $22,908.68	Facility	$3,548.13	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $630.96 / $2,137.96	Professional	$501.19	$630.96	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,025.60 / $10,471.29 / $17,782.79	Facility	$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $758.58 / $1,412.54	Professional	$549.54	$758.58	$1,412.54
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,630.78 / $6,918.31	Facility	$85.11	$3,630.78	$6,918.31
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $831.76 / $1,548.82	Professional	$575.44	$831.76	$1,548.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $575.44 / $891.25	Facility	$398.11	$575.44	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $707.95 / $1,348.96	Professional	$489.78	$707.95	$1,348.96
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $616.60 / $831.76	Professional	$524.81	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $616.60 / $1,288.25	Professional	$512.86	$616.60	$1,288.25
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $3,715.35	Facility	$54.95	$56.23	$3,715.35
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,073.80 / $4,897.79 / $4,897.79	Professional	$4,073.80	$4,897.79	$4,897.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $831.76	Professional	$32.36	$33.11	$831.76
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 $537.03 / $741.31 / $1,202.26	Facility	$537.03	$741.31	$1,202.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $707.95 / $1,445.44	Professional	$489.78	$707.95	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $1,819.70 / $1,819.70	Professional	$1,819.70	$1,819.70	$1,819.70
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $724.44 / $1,122.02	Professional	$524.81	$724.44	$1,122.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,168.69 / $9,549.93	Facility	$1,949.84	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $602.56 / $1,202.26	Professional	$436.52	$602.56	$1,202.26

California rates for HCPCS 43020