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 / $190.55 / $269.15	Facility	26	$141.25	$190.55	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $501.19 / $1,778.28	Professional		$302.00	$501.19	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $154.88 / $426.58	Professional	26	$85.11	$154.88	$426.58
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $158.49 / $407.38 / $812.83	Professional	52	$158.49	$407.38	$812.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $338.84 / $776.25	Professional	TC	$204.17	$338.84	$776.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $134.90 / $229.09	Professional	26	$64.57	$134.90	$229.09
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional	52	$524.81	$524.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $758.58 / $1,230.27	Professional		$467.74	$758.58	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $125.89 / $245.47	Professional	26	$89.13	$125.89	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $630.96 / $977.24	Professional	TC	$346.74	$630.96	$977.24
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $549.54 / $1,047.13	Professional		$380.19	$549.54	$1,047.13
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $144.54 / $263.03	Professional	26	$102.33	$144.54	$263.03
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $407.38 / $758.58	Professional	TC	$275.42	$407.38	$758.58
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $512.86 / $1,000.00	Professional		$257.04	$512.86	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $107.15 / $208.93	Professional	26	$60.26	$107.15	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $398.11 / $812.83	Professional	TC	$186.21	$398.11	$812.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $478.63	Professional		$263.03	$354.81	$478.63
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $93.33 / $125.89	Professional	26	$70.79	$93.33	$125.89
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $263.03 / $354.81	Professional	TC	$194.98	$263.03	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $724.44	Professional		$263.03	$354.81	$724.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $213.80	Professional	26	$83.18	$112.20	$213.80
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $302.00 / $512.86	Professional	TC	$218.78	$302.00	$512.86
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Professional	26	$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3,090.30 / $3,090.30 / $3,090.30	Professional	TC	$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $100.00 / $316.23	Professional		$32.36	$100.00	$316.23
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $549.54 / $912.01	Professional		$263.03	$549.54	$912.01
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $102.33 / $181.97	Professional	26	$51.29	$102.33	$181.97
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $398.11 / $794.33	Professional	TC	$169.82	$398.11	$794.33
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional	26	$288.40	$288.40	$288.40
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Professional	TC	$741.31	$741.31	$741.31
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $398.11 / $1,513.56	Professional		$288.40	$398.11	$1,513.56
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $426.58 / $933.25	Professional		$269.15	$426.58	$933.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $93.33 / $295.12	Professional	26	$69.18	$93.33	$295.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $316.23 / $741.31	Professional	TC	$190.55	$316.23	$741.31

California rates for HCPCS 70552