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 $512.86 / $2,570.40 / $7,079.46	Facility		$512.86	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $416.87 / $933.25	Professional		$190.55	$416.87	$933.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $223.87 / $338.84	Professional		$85.11	$223.87	$338.84
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $2,187.76 / $5,128.61	Facility		$691.83	$2,187.76	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $407.38 / $891.25	Professional		$251.19	$407.38	$891.25
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $257.04	Facility		$177.83	$234.42	$257.04
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $588.84 / $676.08	Professional		$426.58	$588.84	$676.08
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 $223.87 / $426.58 / $933.25	Professional		$223.87	$426.58	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $549.54 / $977.24	Professional		$204.17	$549.54	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 22 Typical Low / Median / Typical High $537.03 / $676.08 / $1,698.24	Professional	22	$537.03	$676.08	$1,698.24
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $489.78 / $1,148.15	Professional		$275.42	$489.78	$1,148.15
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 $194.98 / $380.19 / $831.76	Professional		$194.98	$380.19	$831.76

Georgia rates for HCPCS 43251