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 $74.13 / $123.03 / $363.08	Facility	$74.13	$123.03	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $87.10 / $154.88	Professional	$42.66	$87.10	$154.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $131.83 / $288.40	Facility	$26.30	$131.83	$288.40
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $151.36	Professional	$57.54	$77.62	$151.36
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $131.83 / $169.82	Facility	$41.69	$131.83	$169.82
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $57.54 / $144.54	Professional	$41.69	$57.54	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $102.33 / $204.17	Facility	$48.98	$102.33	$204.17
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $41.69 / $165.96	Professional	$30.20	$41.69	$165.96
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $57.54 / $77.62	Professional	$45.71	$57.54	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $63.10 / $100.00	Professional	$51.29	$63.10	$100.00
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $426.58 / $426.58	Professional	$288.40	$426.58	$426.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Professional	$57.54	$57.54	$57.54
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $79.43 / $169.82	Facility	$51.29	$79.43	$169.82
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $63.10 / $158.49	Professional	$30.20	$63.10	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	$199.53	$199.53	$199.53
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $57.54 / $691.83	Professional	$45.71	$57.54	$691.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $57.54 / $57.54	Facility	$23.99	$57.54	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $128.82	Professional	$23.99	$23.99	$128.82

California rates for HCPCS 81243