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 $1,318.26 / $1,621.81 / $5,495.41	Professional	$1,318.26	$1,621.81	$5,495.41
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 $1,380.38 / $1,819.70 / $3,467.37	Professional	$1,380.38	$1,819.70	$3,467.37
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $3,801.89 / $7,079.46	Facility	$79.43	$3,801.89	$7,079.46
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,862.09 / $3,630.78	Professional	$1,288.25	$1,862.09	$3,630.78
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 $1,148.15 / $1,778.28 / $3,388.44	Professional	$1,148.15	$1,778.28	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,513.56 / $1,995.26	Professional	$1,000.00	$1,513.56	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,513.56 / $3,235.94	Professional	$1,258.93	$1,513.56	$3,235.94
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $8,912.51	Facility	$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,232.93 / $12,302.69 / $12,302.69	Professional	$10,232.93	$12,302.69	$12,302.69
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $2,137.96	Professional	$32.36	$33.11	$2,137.96
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 $1,318.26 / $1,778.28 / $2,884.03	Facility	$1,318.26	$1,778.28	$2,884.03
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,778.28 / $3,630.78	Professional	$1,096.48	$1,778.28	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,677.35 / $4,677.35 / $4,677.35	Professional	$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,513.56 / $2,137.96	Professional	$1,230.27	$1,513.56	$2,137.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $5,623.41 / $17,378.01	Facility	$1,698.24	$5,623.41	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,584.89 / $3,162.28	Professional	$1,174.90	$1,584.89	$3,162.28

California rates for HCPCS 43405