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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $87.10 / $245.47	Facility		$20.89	$87.10	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $22.91 / $112.20	Professional		$15.85	$22.91	$112.20
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $50.12 / $104.71	Professional		$21.88	$50.12	$104.71
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $79.43 / $123.03	Facility		$36.31	$79.43	$123.03
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $35.48 / $77.62	Professional		$26.30	$35.48	$77.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $72.44 / $85.11	Facility		$60.26	$72.44	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $32.36 / $70.79	Professional		$20.89	$32.36	$70.79
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $42.66 / $51.29	Professional		$38.02	$42.66	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $34.67 / $60.26	Professional		$28.84	$34.67	$60.26
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $257.04 / $257.04	Professional		$199.53	$257.04	$257.04
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $70.79	Professional		$44.67	$44.67	$70.79
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $70.79	Professional		$30.90	$39.81	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $33.88 / $51.29	Facility		$20.42	$33.88	$51.29
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $33.11 / $79.43	Professional		$20.89	$33.11	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $35.48	Facility		$30.90	$30.90	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $67.61	Professional		$23.99	$32.36	$67.61

California rates for HCPCS 97542