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 $61.66 / $181.97 / $363.08	Facility	$61.66	$181.97	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $120.23 / $380.19	Professional	$39.81	$120.23	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	$147.91	$147.91	$147.91
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $194.98	Facility	$61.66	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $181.97 / $316.23	Professional	$63.10	$181.97	$316.23
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $112.20 / $269.15	Facility	$47.86	$112.20	$269.15
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $218.78 / $489.78	Professional	$74.13	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $524.81 / $524.81	Facility	$281.84	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $134.90 / $288.40	Professional	$46.77	$134.90	$288.40
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $85.11 / $213.80	Professional	$40.74	$85.11	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $128.82 / $275.42	Professional	$36.31	$128.82	$275.42
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Facility	$467.74	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $177.83	Professional	$32.36	$33.11	$177.83
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 $43.65 / $123.03 / $263.03	Facility	$43.65	$123.03	$263.03
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $131.83 / $323.59	Professional	$47.86	$131.83	$323.59
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $436.52	Professional	$138.04	$138.04	$436.52
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $158.49 / $234.42	Professional	$37.15	$158.49	$234.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $645.65 / $831.76	Facility	$158.49	$645.65	$831.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $102.33 / $245.47	Professional	$37.15	$102.33	$245.47

California rates for HCPCS 96542