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 $43.65 / $83.18 / $239.88	Facility	$43.65	$83.18	$239.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $36.31 / $123.03	Professional	$26.92	$36.31	$123.03
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $85.11 / $181.97	Facility	$16.98	$85.11	$181.97
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $72.44 / $141.25	Professional	$36.31	$72.44	$141.25
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $85.11 / $107.15	Facility	$26.30	$85.11	$107.15
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $186.21	Professional	$64.57	$87.10	$186.21
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $66.07 / $128.82	Facility	$28.18	$66.07	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $26.92 / $104.71	Professional	$19.50	$26.92	$104.71
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $40.74 / $48.98	Professional	$36.31	$40.74	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $40.74 / $70.79	Professional	$33.11	$40.74	$70.79
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $275.42 / $275.42	Professional	$181.97	$275.42	$275.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	$36.31	$36.31	$36.31
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $47.86 / $117.49	Facility	$30.20	$47.86	$117.49
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $40.74 / $107.15	Professional	$19.50	$40.74	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $36.31 / $36.31	Facility	$15.49	$36.31	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $15.49 / $79.43	Professional	$15.49	$15.49	$79.43

California rates for HCPCS 81242