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 $141.25 / $354.81 / $676.08	Facility		$141.25	$354.81	$676.08
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $83.18 / $213.80	Facility	26	$54.95	$83.18	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $112.20 / $416.87	Professional		$38.90	$112.20	$416.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $74.13 / $194.98	Professional	26	$33.88	$74.13	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $74.13 / $208.93	Professional	TC	$25.70	$74.13	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $31.62 / $77.62	Professional		$29.51	$31.62	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $81.28 / $389.05	Professional	26	$42.66	$81.28	$389.05
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $199.53 / $363.08	Professional		$89.13	$199.53	$363.08
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $100.00 / $158.49	Professional	26	$47.86	$100.00	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $107.15 / $223.87	Professional	TC	$22.39	$107.15	$223.87
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,000.00 / $2,041.74	Facility		$85.11	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $275.42 / $478.63	Professional		$83.18	$275.42	$478.63
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $100.00 / $177.83	Professional	26	$45.71	$100.00	$177.83
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $177.83 / $309.03	Professional	TC	$37.15	$177.83	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $204.17 / $338.84	Professional		$74.13	$204.17	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $79.43 / $134.90	Professional	26	$41.69	$79.43	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $117.49 / $213.80	Professional	TC	$33.11	$117.49	$213.80
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $83.18 / $109.65	Professional		$72.44	$83.18	$109.65
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $54.95	Professional	26	$31.62	$42.66	$54.95
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $40.74 / $54.95	Professional	TC	$40.74	$40.74	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $75.86 / $144.54	Professional		$63.10	$75.86	$144.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $38.90 / $66.07	Professional	26	$34.67	$38.90	$66.07
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $38.02 / $63.10	Professional	TC	$32.36	$38.02	$63.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,318.26	Professional		$1,174.90	$1,174.90	$1,318.26
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Professional	26	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $870.96 / $870.96 / $870.96	Professional	TC	$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $181.97	Professional		$77.62	$104.71	$181.97
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 $67.61 / $114.82 / $331.13	Facility		$67.61	$114.82	$331.13
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $169.82 / $323.59	Professional		$74.13	$169.82	$323.59
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $79.43 / $128.82	Professional	26	$39.81	$79.43	$128.82
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $123.03 / $223.87	Professional	TC	$31.62	$123.03	$223.87
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $154.88	Professional		$72.44	$102.33	$154.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $1,548.82 / $6,456.54	Facility		$467.74	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $123.03 / $302.00	Professional		$57.54	$123.03	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $66.07 / $128.82	Professional	26	$32.36	$66.07	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $54.95 / $177.83	Professional	TC	$24.55	$54.95	$177.83

California rates for HCPCS 51784