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 $1,174.90 / $4,786.30 / $14,125.38	Facility		$1,174.90	$4,786.30	$14,125.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $323.59 / $1,778.28	Professional		$141.25	$323.59	$1,778.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $154.88 / $363.08	Professional		$104.71	$154.88	$363.08
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 $223.87 / $338.84 / $1,819.70	Professional		$223.87	$338.84	$1,819.70
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,168.69 / $8,912.51	Facility		$85.11	$4,168.69	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $891.25 / $2,454.71	Professional		$181.97	$891.25	$2,454.71
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,096.48 / $2,238.72	Facility		$537.03	$1,096.48	$2,238.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $2,041.74	Professional		$169.82	$309.03	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $223.87 / $1,949.84	Professional		$154.88	$223.87	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $741.31 / $2,238.72	Professional		$138.04	$741.31	$2,238.72
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 Facility Modifier 53 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility	53	$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
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 $158.49 / $295.12 / $1,949.84	Facility		$158.49	$295.12	$1,949.84
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $346.74 / $2,344.23	Professional		$169.82	$346.74	$2,344.23
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $3,715.35	Professional		$501.19	$501.19	$3,715.35
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $363.08 / $1,348.96	Professional		$141.25	$363.08	$1,348.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,265.80 / $9,120.11	Facility		$1,949.84	$4,265.80	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $288.40 / $1,737.80	Professional		$134.90	$288.40	$1,737.80

California rates for HCPCS 43249