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 $1,698.24 / $6,025.60 / $16,982.44	Facility	$1,698.24	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $186.21 / $724.44	Professional	$128.82	$186.21	$724.44
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 $208.93 / $354.81 / $549.54	Professional	$208.93	$354.81	$549.54
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,235.94 / $6,606.93	Facility	$85.11	$3,235.94	$6,606.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $213.80 / $398.11	Professional	$147.91	$213.80	$398.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $1,023.29 / $2,238.72	Facility	$398.11	$1,023.29	$2,238.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $407.38	Professional	$147.91	$234.42	$407.38
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $281.84 / $416.87	Professional	$138.04	$281.84	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $141.25 / $316.23	Professional	$114.82	$141.25	$316.23
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $19,498.45 / $19,498.45	Facility	$5,011.87	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional	$1,949.84	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $190.55	Professional	$32.36	$33.11	$190.55
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 $131.83 / $213.80 / $457.09	Facility	$131.83	$213.80	$457.09
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $239.88 / $398.11	Professional	$144.54	$239.88	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Professional	$446.68	$446.68	$446.68
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $389.05 / $602.56	Professional	$125.89	$389.05	$602.56
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $4,073.80 / $9,549.93	Facility	$1,862.09	$4,073.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $181.97 / $346.74	Professional	$112.20	$181.97	$346.74

California rates for HCPCS 43204