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 $1,548.82 / $5,888.44 / $16,595.87	Facility	$1,548.82	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $186.21 / $549.54	Professional	$79.43	$186.21	$549.54
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 $114.82 / $295.12 / $478.63	Professional	$114.82	$295.12	$478.63
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,090.30 / $6,606.93	Facility	$85.11	$3,090.30	$6,606.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $204.17 / $416.87	Professional	$91.20	$204.17	$416.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $436.52 / $891.25	Facility	$154.88	$436.52	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $204.17 / $398.11	Professional	$91.20	$204.17	$398.11
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $309.03	Professional	$69.18	$89.13	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $186.21 / $389.05	Professional	$67.61	$186.21	$389.05
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $794.33	Facility	$54.95	$56.23	$794.33
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,621.81 / $1,621.81	Professional	$1,380.38	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $263.03	Professional	$32.36	$33.11	$263.03
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $181.97 / $346.74	Facility	$79.43	$181.97	$346.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $208.93 / $446.68	Professional	$91.20	$208.93	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $645.65	Professional	$269.15	$269.15	$645.65
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $97.72 / $234.42	Professional	$67.61	$97.72	$234.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $4,073.80 / $9,549.93	Facility	$1,778.28	$4,073.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $162.18 / $323.59	Professional	$74.13	$162.18	$323.59

California rates for HCPCS 43197