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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $4,677.35 / $14,791.08	Facility	$1,047.13	$4,677.35	$14,791.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $363.08 / $1,071.52	Professional	$181.97	$363.08	$1,071.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $398.11	Professional	$112.20	$173.78	$398.11
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 $281.84 / $407.38 / $851.14	Professional	$281.84	$407.38	$851.14
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 $229.09 / $549.54 / $1,122.02	Professional	$229.09	$549.54	$1,122.02
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 $213.80 / $380.19 / $933.25	Professional	$213.80	$380.19	$933.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $724.44 / $977.24	Professional	$194.98	$724.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $501.19 / $1,023.29	Professional	$177.83	$501.19	$1,023.29
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 Professional Modifier Typical Low / Median / Typical High $3,467.37 / $4,073.80 / $4,073.80	Professional	$3,467.37	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $676.08	Professional	$32.36	$33.11	$676.08
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 $204.17 / $371.54 / $870.96	Facility	$204.17	$371.54	$870.96
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $407.38 / $1,071.52	Professional	$208.93	$407.38	$1,071.52
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 $645.65 / $645.65 / $1,584.89	Professional	$645.65	$645.65	$1,584.89
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $218.78 / $812.83	Professional	$158.49	$218.78	$812.83
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 $173.78 / $338.84 / $794.33	Professional	$173.78	$338.84	$794.33

California rates for HCPCS 43251