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 $46.77 / $269.15 / $602.56	Facility		$46.77	$269.15	$602.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $12.59 / $31.62	Facility	26	$9.33	$12.59	$31.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $41.69 / $151.36	Professional		$22.39	$41.69	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $17.78 / $58.88	Professional	26	$9.33	$17.78	$58.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.90 / $100.00	Professional	TC	$19.95	$30.90	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $37.15 / $52.48	Professional		$27.54	$37.15	$52.48
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.18 / $23.99	Professional	26	$10.23	$13.18	$23.99
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.20 / $32.36	Professional	TC	$24.55	$30.20	$32.36
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $13.80 / $190.55	Facility		$12.30	$13.80	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $95.50	Professional		$34.67	$46.77	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.85 / $30.90	Professional	26	$11.75	$15.85	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.90 / $63.10	Professional	TC	$22.39	$30.90	$63.10
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $138.04 / $269.15	Facility		$60.26	$138.04	$269.15
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $48.98 / $93.33	Professional		$36.31	$48.98	$93.33
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.85 / $28.18	Professional	26	$11.75	$15.85	$28.18
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.11 / $64.57	Professional	TC	$24.55	$33.11	$64.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $199.53 / $524.81	Facility		$61.66	$199.53	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $44.67 / $83.18	Professional		$28.84	$44.67	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.80 / $27.54	Professional	26	$9.33	$13.80	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.20 / $60.26	Professional	TC	$19.95	$30.20	$60.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $47.86 / $64.57	Professional		$26.92	$47.86	$64.57
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.02 / $16.22	Professional	26	$8.91	$12.02	$16.22
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $36.31 / $48.98	Professional	TC	$18.20	$36.31	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $44.67 / $77.62	Professional		$34.67	$44.67	$77.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.80 / $22.91	Professional	26	$10.47	$13.80	$22.91
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $38.02 / $67.61	Professional	TC	$29.51	$38.02	$67.61
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $363.08 / $363.08	Facility		$234.42	$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 Professional Modifier Typical Low / Median / Typical High $234.42 / $309.03 / $309.03	Professional		$234.42	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $87.10 / $87.10	Professional	26	$85.11	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $223.87 / $223.87	Professional	TC	$190.55	$223.87	$223.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $32.36 / $41.69	Professional		$12.59	$32.36	$41.69
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $48.98 / $89.13	Facility		$32.36	$48.98	$89.13
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $45.71 / $91.20	Professional		$29.51	$45.71	$91.20
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.18 / $25.12	Professional	26	$9.33	$13.18	$25.12
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $54.95	Professional	TC	$19.50	$28.84	$54.95
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 $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	TC	$81.28	$81.28	$81.28
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $53.70 / $69.18	Professional		$38.90	$53.70	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $144.54 / $218.78	Facility		$41.69	$144.54	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $95.50	Professional		$24.55	$38.02	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.30 / $52.48	Professional	26	$8.51	$12.30	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $26.30 / $91.20	Professional	TC	$16.98	$26.30	$91.20

California rates for HCPCS 71100