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 $8.91 / $18.62 / $61.66	Facility	26	$8.91	$18.62	$61.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $22.91 / $75.86	Professional		$15.14	$22.91	$75.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.88 / $38.90	Professional	26	$7.94	$12.88	$38.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.03 / $11.48 / $28.84	Professional	TC	$6.03	$11.48	$28.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $14.79 / $18.62	Professional		$13.18	$14.79	$18.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.39 / $47.86	Professional	26	$18.20	$22.39	$47.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $36.31 / $61.66	Professional		$22.91	$36.31	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $28.84	Professional	26	$10.72	$14.45	$28.84
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $20.42 / $37.15	Professional	TC	$11.75	$20.42	$37.15
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $30.90 / $54.95	Professional		$22.91	$30.90	$54.95
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.49 / $27.54	Professional	26	$11.75	$15.49	$27.54
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $15.49 / $28.84	Professional	TC	$10.47	$15.49	$28.84
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.45 / $11.48 / $16.22	Facility	26	$2.45	$11.48	$16.22
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $28.84 / $53.70	Professional		$16.60	$28.84	$53.70
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $13.18 / $25.70	Professional	26	$8.71	$13.18	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.59 / $15.49 / $30.90	Professional	TC	$7.59	$15.49	$30.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $24.55 / $33.11	Professional		$16.22	$24.55	$33.11
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $11.75 / $15.85	Professional	26	$8.32	$11.75	$15.85
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.76 / $12.88 / $17.38	Professional	TC	$7.76	$12.88	$17.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $23.44 / $47.86	Professional		$18.62	$23.44	$47.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.49 / $21.88	Professional	26	$10.00	$13.49	$21.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $13.49 / $23.99	Professional	TC	$10.47	$13.49	$23.99
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 Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $208.93	Professional		$186.21	$186.21	$208.93
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	TC	$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $20.89 / $33.11	Professional		$8.13	$20.89	$33.11
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $8.32	Facility	26	$8.32	$8.32	$8.32
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $30.90 / $50.12	Professional		$16.98	$30.90	$50.12
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.30 / $22.91	Professional	26	$8.71	$12.30	$22.91
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.59 / $15.14 / $30.90	Professional	TC	$7.59	$15.14	$30.90
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	26	$34.67	$34.67	$34.67
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $27.54 / $93.33	Professional		$19.95	$27.54	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $21.38 / $48.98	Professional		$16.22	$21.38	$48.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $38.90	Professional	26	$7.94	$11.48	$38.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.13 / $10.96 / $26.92	Professional	TC	$8.13	$10.96	$26.92

California rates for HCPCS 70355