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 $1,513.56 / $1,862.09 / $6,165.95	Professional	$1,513.56	$1,862.09	$6,165.95
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 $1,548.82 / $1,995.26 / $3,981.07	Professional	$1,548.82	$1,995.26	$3,981.07
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 $1,584.89 / $2,290.87 / $4,365.16	Professional	$1,584.89	$2,290.87	$4,365.16
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 $1,412.54 / $2,089.30 / $3,981.07	Professional	$1,412.54	$2,089.30	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,479.11 / $2,187.76	Professional	$977.24	$1,479.11	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,698.24 / $3,715.35	Professional	$1,412.54	$1,698.24	$3,715.35
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $10,471.29	Facility	$54.95	$56.23	$10,471.29
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12,022.64 / $14,791.08 / $14,791.08	Professional	$12,022.64	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $2,511.89	Professional	$32.36	$33.11	$2,511.89
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 $1,584.89 / $2,089.30 / $3,311.31	Facility	$1,584.89	$2,089.30	$3,311.31
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $2,089.30 / $4,365.16	Professional	$1,258.93	$2,089.30	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,495.41 / $5,495.41 / $5,495.41	Professional	$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,548.82 / $2,089.30	Professional	$1,230.27	$1,548.82	$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 $1,348.96 / $1,862.09 / $3,715.35	Professional	$1,348.96	$1,862.09	$3,715.35

California rates for HCPCS 43865