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 $691.83 / $2,884.03 / $7,413.10	Facility		$691.83	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $346.74 / $1,949.84	Professional		$141.25	$346.74	$1,949.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $173.78 / $275.42	Professional		$95.50	$173.78	$275.42
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $2,187.76 / $5,128.61	Facility		$676.08	$2,187.76	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $323.59 / $2,041.74	Professional		$199.53	$323.59	$2,041.74
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $208.93 / $275.42	Facility		$173.78	$208.93	$275.42
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,174.90 / $1,445.44	Professional		$891.25	$1,174.90	$1,445.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $870.96 / $1,148.15	Facility		$501.19	$870.96	$1,148.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $338.84 / $1,995.26	Professional		$177.83	$338.84	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $562.34 / $1,819.70	Professional		$158.49	$562.34	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier 22 Typical Low / Median / Typical High $416.87 / $537.03 / $3,548.13	Professional	22	$416.87	$537.03	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $123.03 / $154.88 / $1,047.13	Professional	52	$123.03	$154.88	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $123.03 / $154.88 / $1,348.96	Professional	53	$123.03	$154.88	$1,348.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $389.05 / $2,398.83	Professional		$144.54	$389.05	$2,398.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $2,454.71 / $4,786.30	Facility		$537.03	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $309.03 / $1,862.09	Professional		$154.88	$309.03	$1,862.09

Georgia rates for HCPCS 43249