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 $47.86 / $204.17 / $741.31	Facility		$47.86	$204.17	$741.31
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $13.18 / $35.48	Facility	26	$10.72	$13.18	$35.48
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $36.31 / $114.82 / $245.47	Facility	TC	$36.31	$114.82	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $52.48 / $190.55	Professional		$30.20	$52.48	$190.55
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $18.62 / $56.23	Professional	26	$7.94	$18.62	$56.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.90 / $97.72	Professional	TC	$20.89	$30.90	$97.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $61.66	Professional		$23.99	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $15.49 / $53.70	Professional	26	$8.13	$15.49	$53.70
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $14.79 / $190.55	Facility		$13.18	$14.79	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $51.29 / $100.00	Professional		$38.02	$51.29	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.98 / $29.51	Professional	26	$12.30	$16.98	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.88 / $69.18	Professional	TC	$25.12	$33.88	$69.18
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $151.36 / $309.03	Facility		$66.07	$151.36	$309.03
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $102.33	Professional		$40.74	$54.95	$102.33
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.38 / $30.20	Professional	26	$13.18	$17.38	$30.20
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $37.15 / $72.44	Professional	TC	$26.30	$37.15	$72.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $239.88 / $691.83	Facility		$66.07	$239.88	$691.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.31 / $29.51 / $42.66	Facility	TC	$6.31	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $87.10	Professional		$30.90	$47.86	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $14.13 / $26.92	Professional	26	$8.71	$14.13	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $33.11 / $67.61	Professional	TC	$21.38	$33.11	$67.61
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $47.86 / $64.57	Professional		$25.70	$47.86	$64.57
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $10.00 / $13.49	Professional	26	$8.91	$10.00	$13.49
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $38.02 / $51.29	Professional	TC	$16.98	$38.02	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $44.67 / $85.11	Professional		$34.67	$44.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.48 / $19.05	Professional	26	$8.71	$11.48	$19.05
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $39.81 / $70.79	Professional	TC	$30.90	$39.81	$70.79
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $363.08 / $363.08	Facility		$229.09	$363.08	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	TC	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $302.00 / $302.00	Professional		$229.09	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $234.42 / $234.42	Professional	TC	$213.80	$234.42	$234.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $32.36 / $40.74	Professional		$12.30	$32.36	$40.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $93.33	Facility		$32.36	$50.12	$93.33
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $7.41 / $7.41	Facility	26	$7.41	$7.41	$7.41
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $93.33	Professional		$30.90	$48.98	$93.33
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $13.49 / $24.55	Professional	26	$8.51	$13.49	$24.55
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $31.62 / $58.88	Professional	TC	$21.38	$31.62	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $63.10	Professional		$38.90	$48.98	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $169.82 / $263.03	Facility		$41.69	$169.82	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $39.81 / $102.33	Professional		$26.92	$39.81	$102.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $12.30 / $44.67	Professional	26	$8.32	$12.30	$44.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $26.30 / $61.66	Professional	TC	$18.62	$26.30	$61.66

California rates for HCPCS 70250