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 $1,047.13 / $1,318.26 / $4,365.16	Professional	$1,047.13	$1,318.26	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $11,481.54 / $18,620.87	Facility	$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,445.44 / $2,754.23	Professional	$1,122.02	$1,445.44	$2,754.23
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 $1,047.13 / $1,513.56 / $2,951.21	Professional	$1,047.13	$1,513.56	$2,951.21
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 / $1,445.44 / $2,754.23	Professional	$954.99	$1,445.44	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,096.48 / $1,584.89	Professional	$724.44	$1,096.48	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,202.26 / $2,630.27	Professional	$1,000.00	$1,202.26	$2,630.27
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $7,413.10	Facility	$54.95	$56.23	$7,413.10
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8,511.38 / $10,232.93 / $10,232.93	Professional	$8,511.38	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,737.80	Professional	$32.36	$33.11	$1,737.80
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 $1,096.48 / $1,479.11 / $2,344.23	Facility	$1,096.48	$1,479.11	$2,344.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,445.44 / $3,019.95	Professional	$912.01	$1,445.44	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,801.89 / $3,801.89 / $3,801.89	Professional	$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,122.02 / $1,548.82	Professional	$912.01	$1,122.02	$1,548.82
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 $933.25 / $1,258.93 / $2,570.40	Professional	$933.25	$1,258.93	$2,570.40

California rates for HCPCS 43640