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 $630.96 / $3,981.07 / $11,481.54	Facility		$630.96	$3,981.07	$11,481.54
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Facility	52	$6,309.57	$6,309.57	$6,309.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $251.19 / $870.96	Professional		$70.79	$251.19	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $138.04 / $363.08	Professional		$72.44	$138.04	$363.08
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,548.13 / $6,165.95 / $13,489.63	Facility		$3,548.13	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $389.05 / $741.31	Professional		$223.87	$389.05	$741.31
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $3,981.07 / $8,912.51	Facility		$85.11	$3,981.07	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $436.52 / $870.96	Professional		$165.96	$436.52	$870.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $724.44 / $1,288.25	Facility		$537.03	$724.44	$1,288.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $346.74 / $691.83	Professional		$162.18	$346.74	$691.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $234.42 / $691.83	Professional		$141.25	$234.42	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $380.19 / $776.25	Professional		$125.89	$380.19	$776.25
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $2,884.03 / $28,840.32	Facility		$2,884.03	$2,884.03	$28,840.32
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 $218.78 / $2,630.27 / $3,090.30	Professional		$218.78	$2,630.27	$3,090.30
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
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 $147.91 / $363.08 / $691.83	Facility		$147.91	$363.08	$691.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $354.81 / $794.33	Professional		$162.18	$354.81	$794.33
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 $457.09 / $457.09 / $1,258.93	Professional		$457.09	$457.09	$1,258.93
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $380.19 / $512.86	Professional		$128.82	$380.19	$512.86
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 $125.89 / $309.03 / $630.96	Professional		$125.89	$309.03	$630.96

California rates for HCPCS 43239