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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $5,623.41 / $16,595.87	Facility		$1,584.89	$5,623.41	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $234.42 / $602.56	Professional		$87.10	$234.42	$602.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $74.13	Professional		$48.98	$72.44	$74.13
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 $134.90 / $257.04 / $478.63	Professional		$134.90	$257.04	$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 $104.71 / $288.40 / $588.84	Professional		$104.71	$288.40	$588.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $724.44 / $1,288.25	Facility		$398.11	$724.44	$1,288.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $234.42 / $489.78	Professional		$104.71	$234.42	$489.78
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $169.82 / $501.19	Professional		$91.20	$169.82	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $275.42 / $537.03	Professional		$81.28	$275.42	$537.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $19,498.45	Facility		$2,818.38	$2,818.38	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility	53	$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 $95.50 / $239.88 / $467.74	Facility		$95.50	$239.88	$467.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $234.42 / $549.54	Professional		$102.33	$234.42	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $812.83	Professional		$281.84	$281.84	$812.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $275.42 / $363.08	Professional		$81.28	$275.42	$363.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $4,073.80 / $9,549.93	Facility		$1,737.80	$4,073.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $194.98 / $407.38	Professional		$81.28	$194.98	$407.38

California rates for HCPCS 43200