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 26 Typical Low / Median / Typical High $109.65 / $112.20 / $602.56	Facility	26	$109.65	$112.20	$602.56
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $467.74 / $1,584.89	Professional		$338.84	$467.74	$1,584.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $138.04 / $457.09	Professional	26	$102.33	$138.04	$457.09
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $151.36 / $281.84 / $323.59	Professional	52	$151.36	$281.84	$323.59
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $275.42 / $588.84	Professional	TC	$204.17	$275.42	$588.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $380.19	Professional		$363.08	$363.08	$380.19
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $1,513.56 / $1,513.56 / $1,513.56	Professional	26	$1,513.56	$1,513.56	$1,513.56
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $162.18 / $173.78 / $204.17	Professional	52	$162.18	$173.78	$204.17
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $512.86 / $1,096.48	Professional		$338.84	$512.86	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $169.82 / $338.84	Professional	26	$117.49	$169.82	$338.84
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $331.13 / $776.25	Professional	TC	$218.78	$331.13	$776.25
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $457.09 / $1,023.29	Professional		$302.00	$457.09	$1,023.29
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $158.49 / $323.59	Professional	26	$104.71	$158.49	$323.59
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $295.12 / $676.08	Professional	TC	$194.98	$295.12	$676.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $446.68 / $1,047.13	Professional		$331.13	$446.68	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $138.04 / $316.23	Professional	26	$107.15	$138.04	$316.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $323.59 / $758.58	Professional	TC	$218.78	$323.59	$758.58
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $316.23 / $537.03	Professional		$251.19	$316.23	$537.03
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $117.49 / $144.54	Professional	26	$93.33	$117.49	$144.54
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $199.53 / $389.05	Professional	TC	$158.49	$199.53	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $457.09 / $741.31	Professional		$354.81	$457.09	$741.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $147.91 / $269.15	Professional	26	$107.15	$147.91	$269.15
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $380.19 / $724.44	Professional	TC	$257.04	$380.19	$724.44
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Facility	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,818.38 / $2,818.38	Professional		$2,454.71	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $758.58 / $831.76 / $831.76	Professional	26	$758.58	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,737.80 / $1,995.26 / $1,995.26	Professional	TC	$1,737.80	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $354.81 / $501.19	Professional		$147.91	$354.81	$501.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $1,000.00	Professional		$331.13	$436.52	$1,000.00
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $134.90 / $281.84	Professional	26	$107.15	$134.90	$281.84
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $309.03 / $660.69	Professional	TC	$218.78	$309.03	$660.69
Sutter Health Plus 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
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Professional	26	$338.84	$338.84	$338.84
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Professional	TC	$831.76	$831.76	$831.76
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $363.08 / $467.74	Professional		$263.03	$363.08	$467.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $407.38 / $1,071.52	Professional		$281.84	$407.38	$1,071.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $131.83 / $309.03	Professional	26	$87.10	$131.83	$309.03
United Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	52	$588.84	$588.84	$588.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $275.42 / $758.58	Professional	TC	$190.55	$275.42	$758.58

California rates for HCPCS 51728