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 $1,174.90 / $1,445.44 / $4,677.35	Professional	$1,174.90	$1,445.44	$4,677.35
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 $1,174.90 / $1,548.82 / $3,090.30	Professional	$1,174.90	$1,548.82	$3,090.30
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 $1,174.90 / $1,698.24 / $3,311.31	Professional	$1,174.90	$1,698.24	$3,311.31
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 $1,071.52 / $1,584.89 / $3,019.95	Professional	$1,071.52	$1,584.89	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $1,071.52 / $1,737.80	Professional	$707.95	$1,071.52	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,318.26 / $2,884.03	Professional	$1,096.48	$1,318.26	$2,884.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $8,128.31	Facility	$54.95	$56.23	$8,128.31
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9,332.54 / $11,220.18 / $11,220.18	Professional	$9,332.54	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $1,949.84	Professional	$32.36	$33.11	$1,949.84
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 $1,202.26 / $1,621.81 / $2,511.89	Facility	$1,202.26	$1,621.81	$2,511.89
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,584.89 / $3,311.31	Professional	$977.24	$1,584.89	$3,311.31
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,168.69 / $4,168.69 / $4,168.69	Professional	$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,202.26 / $1,513.56	Professional	$891.25	$1,202.26	$1,513.56
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 $1,047.13 / $1,412.54 / $2,818.38	Professional	$1,047.13	$1,412.54	$2,818.38

California rates for HCPCS 43825