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 $331.13 / $2,511.89 / $6,309.57	Facility		$331.13	$2,511.89	$6,309.57
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,819.70 / $2,089.30 / $16,595.87	Facility	52	$1,819.70	$2,089.30	$16,595.87
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Facility	53	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $257.04 / $676.08	Professional		$112.20	$257.04	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $218.78	Professional		$107.15	$141.25	$218.78
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $1,737.80 / $3,981.07	Facility		$588.84	$1,737.80	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $338.84 / $588.84	Professional		$177.83	$338.84	$588.84
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $165.96 / $218.78	Facility		$141.25	$165.96	$218.78
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $331.13 / $416.87	Professional		$251.19	$331.13	$416.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $549.54 / $676.08	Facility		$380.19	$549.54	$676.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $288.40 / $562.34	Professional		$147.91	$288.40	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $331.13 / $602.56	Professional		$128.82	$331.13	$602.56
Kaiser Permanente Facility/Professional Professional Modifier 22 Typical Low / Median / Typical High $331.13 / $426.58 / $1,000.00	Professional	22	$331.13	$426.58	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $97.72 / $125.89 / $288.40	Professional	52	$97.72	$125.89	$288.40
Kaiser Permanente Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $97.72 / $125.89 / $380.19	Professional	53	$97.72	$125.89	$380.19
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $9,120.11 / $9,120.11	Facility		$2,344.23	$9,120.11	$9,120.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $338.84 / $676.08	Professional		$120.23	$338.84	$676.08
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $2,344.23 / $4,786.30	Facility		$537.03	$2,344.23	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $269.15 / $524.81	Professional		$125.89	$269.15	$524.81

Georgia rates for HCPCS 43235