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 $630.96 / $812.83 / $2,570.40	Professional	$630.96	$812.83	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $11,220.18 / $17,782.79	Facility	$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $831.76 / $1,621.81	Professional	$616.60	$831.76	$1,621.81
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 $660.69 / $954.99 / $1,819.70	Professional	$660.69	$954.99	$1,819.70
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 $602.56 / $851.14 / $1,659.59	Professional	$602.56	$851.14	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $645.65 / $977.24	Professional	$426.58	$645.65	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $758.58 / $2,089.30	Professional	$616.60	$758.58	$2,089.30
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $4,265.80	Facility	$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,011.87 / $6,165.95 / $6,165.95	Professional	$5,011.87	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,023.29	Professional	$32.36	$33.11	$1,023.29
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 $660.69 / $891.25 / $1,380.38	Facility	$660.69	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $1,778.28	Professional	$588.84	$851.14	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $2,187.76	Professional	$2,187.76	$2,187.76	$2,187.76
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $676.08 / $912.01	Professional	$537.03	$676.08	$912.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $5,495.41 / $17,378.01	Facility	$1,659.59	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $1,479.11	Professional	$549.54	$741.31	$1,479.11

California rates for HCPCS 43520