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 $3,715.35 / $10,471.29 / $22,908.68	Facility	$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $3,715.35 / $10,232.93	Professional	$2,691.53	$3,715.35	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,943.28 / $13,489.63 / $22,387.21	Facility	$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,630.27 / $3,467.37 / $7,413.10	Professional	$2,630.27	$3,467.37	$7,413.10
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $7,079.46 / $13,182.57	Facility	$79.43	$7,079.46	$13,182.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,754.23 / $3,890.45 / $7,762.47	Professional	$2,754.23	$3,890.45	$7,762.47
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $724.44 / $1,023.29	Facility	$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,715.35 / $7,413.10	Professional	$2,454.71	$3,715.35	$7,413.10
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,630.27 / $4,365.16	Professional	$1,737.80	$2,630.27	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,818.38 / $3,388.44 / $7,413.10	Professional	$2,818.38	$3,388.44	$7,413.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $20,892.96	Facility	$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23,442.29 / $28,840.32 / $28,840.32	Professional	$23,442.29	$28,840.32	$28,840.32
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $5,011.87	Professional	$32.36	$33.11	$5,011.87
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 $2,884.03 / $3,890.45 / $6,165.95	Facility	$2,884.03	$3,890.45	$6,165.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,290.87 / $3,715.35 / $8,511.38	Professional	$2,290.87	$3,715.35	$8,511.38
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,964.78 / $10,964.78 / $10,964.78	Professional	$10,964.78	$10,964.78	$10,964.78
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,951.21 / $3,715.35	Professional	$2,187.76	$2,951.21	$3,715.35
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $5,623.41 / $17,378.01	Facility	$1,698.24	$5,623.41	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,467.37 / $7,079.46	Professional	$2,454.71	$3,467.37	$7,079.46

California rates for HCPCS 43112