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 $537.03 / $5,128.61 / $15,848.93	Facility		$537.03	$5,128.61	$15,848.93
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $44.67 / $229.09	Facility	26	$42.66	$44.67	$229.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $251.19 / $707.95	Professional		$151.36	$251.19	$707.95
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $58.88 / $181.97	Professional	26	$39.81	$58.88	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $141.25 / $323.59	Professional	TC	$93.33	$141.25	$323.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $173.78 / $186.21	Professional		$165.96	$173.78	$186.21
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $91.20 / $223.87	Professional	26	$87.10	$91.20	$223.87
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 $141.25 / $234.42 / $537.03	Professional		$141.25	$234.42	$537.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $79.43 / $154.88	Professional	26	$46.77	$79.43	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $158.49 / $398.11	Professional	TC	$26.30	$158.49	$398.11
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,047.13 / $2,089.30	Facility		$85.11	$1,047.13	$2,089.30
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $239.88 / $524.81	Professional		$158.49	$239.88	$524.81
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $67.61 / $134.90	Professional	26	$46.77	$67.61	$134.90
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $165.96 / $371.54	Professional	TC	$109.65	$165.96	$371.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $251.19 / $537.03	Professional		$141.25	$251.19	$537.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $63.10 / $134.90	Professional	26	$42.66	$63.10	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $190.55 / $446.68	Professional	TC	$93.33	$190.55	$446.68
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $89.13 / $251.19	Professional		$58.88	$89.13	$251.19
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $35.48 / $53.70	Professional	26	$23.44	$35.48	$53.70
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $53.70 / $194.98	Professional	TC	$35.48	$53.70	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $213.80 / $398.11	Professional		$162.18	$213.80	$398.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $56.23 / $104.71	Professional	26	$40.74	$56.23	$104.71
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $190.55 / $363.08	Professional	TC	$134.90	$190.55	$363.08
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 $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $691.83 / $691.83 / $912.01	Professional	26	$691.83	$691.83	$912.01
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional	TC	$1,148.15	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $199.53 / $257.04	Professional		$56.23	$199.53	$257.04
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $416.87	Facility		$169.82	$239.88	$416.87
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $251.19 / $512.86	Professional		$141.25	$251.19	$512.86
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $60.26 / $120.23	Professional	26	$41.69	$60.26	$120.23
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $173.78 / $371.54	Professional	TC	$93.33	$173.78	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	26	$131.83	$131.83	$131.83
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $190.55	Professional		$74.13	$104.71	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,584.89 / $6,760.83	Facility		$575.44	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $213.80 / $457.09	Professional		$123.03	$213.80	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $53.70 / $120.23	Professional	26	$33.11	$53.70	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $158.49 / $346.74	Professional	TC	$85.11	$158.49	$346.74

California rates for HCPCS 51797