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 $2,089.30 / $6,165.95 / $16,595.87	Facility		$2,089.30	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $363.08 / $1,174.90	Professional		$194.98	$363.08	$1,174.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $177.83 / $371.54	Professional		$165.96	$177.83	$371.54
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 $338.84 / $512.86 / $1,122.02	Professional		$338.84	$512.86	$1,122.02
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,265.80 / $8,912.51	Facility		$85.11	$4,265.80	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $478.63 / $1,023.29	Professional		$234.42	$478.63	$1,023.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,023.29 / $2,238.72	Facility		$537.03	$1,023.29	$2,238.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $407.38 / $1,174.90	Professional		$234.42	$407.38	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $288.40 / $1,202.26	Professional		$199.53	$288.40	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $630.96 / $1,288.25	Professional		$181.97	$630.96	$1,288.25
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 Professional Modifier Typical Low / Median / Typical High $4,365.16 / $5,128.61 / $5,128.61	Professional		$4,365.16	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
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 $213.80 / $426.58 / $1,122.02	Facility		$213.80	$426.58	$1,122.02
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $436.52 / $1,380.38	Professional		$234.42	$436.52	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $2,187.76	Professional		$660.69	$660.69	$2,187.76
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $467.74 / $776.25	Professional		$181.97	$467.74	$776.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $4,168.69 / $9,549.93	Facility		$1,949.84	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $389.05 / $1,047.13	Professional		$177.83	$389.05	$1,047.13

California rates for HCPCS 43255