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 $1,148.15 / $4,897.79 / $15,848.93	Facility		$1,148.15	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $354.81 / $891.25	Professional		$158.49	$354.81	$891.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $389.05	Professional		$131.83	$154.88	$389.05
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 $245.47 / $354.81 / $707.95	Professional		$245.47	$354.81	$707.95
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,073.80 / $8,912.51	Facility		$85.11	$4,073.80	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $446.68 / $912.01	Professional		$199.53	$446.68	$912.01
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $724.44 / $1,288.25	Facility		$467.74	$724.44	$1,288.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $323.59 / $776.25	Professional		$181.97	$323.59	$776.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $724.44	Professional		$147.91	$199.53	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $426.58 / $851.14	Professional		$151.36	$426.58	$851.14
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $2,818.38 / $28,840.32	Facility		$2,818.38	$2,818.38	$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 Professional Modifier Typical Low / Median / Typical High $2,884.03 / $3,388.44 / $3,388.44	Professional		$2,884.03	$3,388.44	$3,388.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
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 $173.78 / $316.23 / $724.44	Facility		$173.78	$316.23	$724.44
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $354.81 / $870.96	Professional		$181.97	$354.81	$870.96
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 $537.03 / $537.03 / $1,288.25	Professional		$537.03	$537.03	$1,288.25
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $239.88 / $512.86	Professional		$147.91	$239.88	$512.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,981.07 / $9,120.11	Facility		$1,819.70	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $281.84 / $660.69	Professional		$147.91	$281.84	$660.69

California rates for HCPCS 43248