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 $141.25 / $213.80 / $630.96	Facility	26	$141.25	$213.80	$630.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $602.56 / $2,570.40	Professional		$389.05	$602.56	$2,570.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $213.80 / $549.54	Professional	26	$104.71	$213.80	$549.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $371.54 / $1,513.56	Professional	TC	$263.03	$371.54	$1,513.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $346.74 / $776.25	Professional		$295.12	$346.74	$776.25
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $165.96 / $524.81	Professional	26	$91.20	$165.96	$524.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $1,096.48 / $1,819.70	Professional		$575.44	$1,096.48	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $131.83 / $295.12	Professional	26	$93.33	$131.83	$295.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $912.01 / $1,659.59	Professional	TC	$436.52	$912.01	$1,659.59
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $831.76 / $1,513.56	Professional		$588.84	$831.76	$1,513.56
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $173.78 / $331.13	Professional	26	$123.03	$173.78	$331.13
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $676.08 / $1,230.27	Professional	TC	$457.09	$676.08	$1,230.27
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $660.69 / $1,479.11	Professional		$331.13	$660.69	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $128.82 / $245.47	Professional	26	$70.79	$128.82	$245.47
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $512.86 / $1,288.25	Professional	TC	$239.88	$512.86	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $446.68 / $602.56	Professional		$331.13	$446.68	$602.56
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $112.20 / $151.36	Professional	26	$79.43	$112.20	$151.36
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $331.13 / $457.09	Professional	TC	$251.19	$331.13	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $812.83	Professional		$331.13	$436.52	$812.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $131.83 / $257.04	Professional	26	$97.72	$131.83	$257.04
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $363.08 / $645.65	Professional	TC	$275.42	$363.08	$645.65
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility	26	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Professional	26	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $120.23 / $457.09	Professional		$32.36	$120.23	$457.09
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $691.83 / $1,412.54	Professional		$331.13	$691.83	$1,412.54
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $120.23 / $213.80	Professional	26	$61.66	$120.23	$213.80
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $501.19 / $1,318.26	Professional	TC	$234.42	$501.19	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	26	$346.74	$346.74	$346.74
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $954.99 / $954.99 / $954.99	Professional	TC	$954.99	$954.99	$954.99
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $562.34	Professional		$331.13	$436.52	$562.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $562.34 / $1,445.44	Professional		$338.84	$562.34	$1,445.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $109.65 / $354.81	Professional	26	$83.18	$109.65	$354.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $416.87 / $1,047.13	Professional	TC	$245.47	$416.87	$1,047.13

California rates for HCPCS 70543