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 $3,715.35 / $10,000.00 / $22,908.68	Facility	$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,230.27 / $4,265.80	Professional	$1,023.29	$1,230.27	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $11,748.98 / $20,417.38	Facility	$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,548.82 / $2,884.03	Professional	$1,148.15	$1,548.82	$2,884.03
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $5,011.87 / $9,332.54	Facility	$83.18	$5,011.87	$9,332.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,698.24 / $3,162.28	Professional	$1,174.90	$1,698.24	$3,162.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $724.44 / $1,023.29	Facility	$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,412.54 / $2,691.53	Professional	$954.99	$1,412.54	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,071.52 / $1,445.44	Professional	$933.25	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,071.52 / $2,398.83	Professional	$870.96	$1,071.52	$2,398.83
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $6,760.83	Facility	$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9,772.37 / $9,772.37 / $9,772.37	Professional	$9,772.37	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,584.89	Professional	$32.36	$33.11	$1,584.89
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 $1,023.29 / $1,412.54 / $2,238.72	Facility	$1,023.29	$1,412.54	$2,238.72
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,412.54 / $2,818.38	Professional	$891.25	$1,412.54	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,548.13	Professional	$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,288.25 / $1,995.26	Professional	$933.25	$1,288.25	$1,995.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $5,495.41 / $17,378.01	Facility	$1,698.24	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,202.26 / $2,344.23	Professional	$870.96	$1,202.26	$2,344.23

California rates for HCPCS 43305