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 $2,344.23 / $6,456.54 / $16,982.44	Facility	$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $436.52 / $1,905.46	Professional	$338.84	$436.52	$1,905.46
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 $467.74 / $630.96 / $1,071.52	Professional	$467.74	$630.96	$1,071.52
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,466.84 / $9,332.54	Facility	$85.11	$4,466.84	$9,332.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $549.54 / $1,047.13	Professional	$380.19	$549.54	$1,047.13
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 $371.54 / $489.78 / $933.25	Professional	$371.54	$489.78	$933.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $346.74 / $467.74	Professional	$269.15	$346.74	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $354.81 / $794.33	Professional	$288.40	$354.81	$794.33
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $28,840.32 / $28,840.32	Facility	$6,456.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,951.21 / $2,951.21 / $2,951.21	Professional	$2,951.21	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $512.86	Professional	$32.36	$33.11	$512.86
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 $346.74 / $501.19 / $870.96	Facility	$346.74	$501.19	$870.96
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $501.19 / $933.25	Professional	$363.08	$501.19	$933.25
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $389.05 / $575.44	Professional	$281.84	$389.05	$575.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,090.30 / $7,079.46 / $14,454.40	Facility	$3,090.30	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $426.58 / $794.33	Professional	$295.12	$426.58	$794.33

California rates for HCPCS 43263