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 $575.44 / $3,467.37 / $12,022.64	Facility		$575.44	$3,467.37	$12,022.64
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,778.28 / $3,801.89 / $4,365.16	Facility	53	$1,778.28	$3,801.89	$4,365.16
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $257.04 / $724.44	Professional		$114.82	$257.04	$724.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $120.23 / $275.42	Professional		$69.18	$120.23	$275.42
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $338.84 / $616.60	Professional		$190.55	$338.84	$616.60
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,019.95 / $6,606.93	Facility		$85.11	$3,019.95	$6,606.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $338.84 / $691.83	Professional		$147.91	$338.84	$691.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $707.95 / $1,288.25	Facility		$398.11	$707.95	$1,288.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $295.12 / $549.54	Professional		$144.54	$295.12	$549.54
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $223.87 / $549.54	Professional		$125.89	$223.87	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $309.03 / $602.56	Professional		$114.82	$309.03	$602.56
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 $2,041.74 / $2,398.83 / $2,398.83	Professional		$2,041.74	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
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 $134.90 / $295.12 / $549.54	Facility		$134.90	$295.12	$549.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $302.00 / $616.60	Professional		$141.25	$302.00	$616.60
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $933.25	Professional		$398.11	$398.11	$933.25
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $346.74 / $478.63	Professional		$114.82	$346.74	$478.63
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $3,981.07 / $9,120.11	Facility		$1,778.28	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $239.88 / $489.78	Professional		$109.65	$239.88	$489.78

California rates for HCPCS 43235