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 / $5,623.41	Professional	$1,318.26	$1,621.81	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,943.28 / $13,489.63 / $22,387.21	Facility	$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,778.28 / $3,548.13	Professional	$1,318.26	$1,778.28	$3,548.13
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 $1,348.96 / $1,949.84 / $3,715.35	Professional	$1,348.96	$1,949.84	$3,715.35
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 $1,202.26 / $1,778.28 / $3,311.31	Professional	$1,202.26	$1,778.28	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,479.11 / $1,905.46	Professional	$977.24	$1,479.11	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,479.11 / $3,162.28	Professional	$1,230.27	$1,479.11	$3,162.28
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $8,709.64	Facility	$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10,000.00 / $12,302.69 / $12,302.69	Professional	$10,000.00	$12,302.69	$12,302.69
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $2,089.30	Professional	$32.36	$33.11	$2,089.30
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 $1,348.96 / $1,778.28 / $2,818.38	Facility	$1,348.96	$1,778.28	$2,818.38
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 $4,570.88 / $4,570.88 / $4,570.88	Professional	$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,445.44 / $2,089.30	Professional	$1,202.26	$1,445.44	$2,089.30
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 $1,148.15 / $1,584.89 / $3,090.30	Professional	$1,148.15	$1,584.89	$3,090.30

California rates for HCPCS 43425