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 $2,041.74 / $6,025.60 / $16,595.87	Facility		$2,041.74	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $416.87 / $1,202.26	Professional		$165.96	$416.87	$1,202.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $154.88 / $165.96	Professional		$79.43	$154.88	$165.96
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 $239.88 / $436.52 / $1,230.27	Professional		$239.88	$436.52	$1,230.27
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,265.80 / $8,912.51	Facility		$85.11	$4,265.80	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $616.60 / $1,348.96	Professional		$204.17	$616.60	$1,348.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,023.29 / $1,659.59	Facility		$537.03	$1,023.29	$1,659.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $346.74 / $1,122.02	Professional		$190.55	$346.74	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $239.88 / $1,148.15	Professional		$177.83	$239.88	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $602.56 / $1,230.27	Professional		$158.49	$602.56	$1,230.27
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,011.87 / $28,840.32	Facility		$5,011.87	$5,011.87	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $3,981.07	Facility	52	$3,981.07	$3,981.07	$3,981.07
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,168.69 / $4,897.79 / $4,897.79	Professional		$4,168.69	$4,897.79	$4,897.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
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 $177.83 / $331.13 / $1,047.13	Facility		$177.83	$331.13	$1,047.13
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $380.19 / $1,288.25	Professional		$186.21	$380.19	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $1,995.26	Professional		$575.44	$575.44	$1,995.26
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $398.11 / $741.31	Professional		$162.18	$398.11	$741.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,168.69 / $9,549.93	Facility		$1,949.84	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $323.59 / $954.99	Professional		$154.88	$323.59	$954.99

California rates for HCPCS 43245