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 $14.13 / $20.89 / $40.74	Facility	26	$14.13	$20.89	$40.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $74.13 / $269.15	Professional		$44.67	$74.13	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.44 / $60.26	Professional	26	$12.88	$23.44	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $46.77 / $109.65	Professional	TC	$30.90	$46.77	$109.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $56.23 / $69.18	Professional		$45.71	$56.23	$69.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.12 / $69.18	Professional	26	$12.88	$25.12	$69.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $36.31 / $69.18	Professional	TC	$36.31	$36.31	$69.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $72.44 / $144.54	Professional		$53.70	$72.44	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $22.91 / $43.65	Professional	26	$16.98	$22.91	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $50.12 / $100.00	Professional	TC	$37.15	$50.12	$100.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $147.91	Professional		$53.70	$75.86	$147.91
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $22.91 / $40.74	Professional	26	$16.98	$22.91	$40.74
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $52.48 / $107.15	Professional	TC	$35.48	$52.48	$107.15
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.38 / $25.12	Facility	26	$3.80	$17.38	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $67.61 / $123.03	Professional		$42.66	$67.61	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $19.95 / $38.90	Professional	26	$13.49	$19.95	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $46.77 / $91.20	Professional	TC	$30.20	$46.77	$91.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $67.61 / $91.20	Professional		$42.66	$67.61	$91.20
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $17.38 / $23.44	Professional	26	$14.13	$17.38	$23.44
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $51.29 / $69.18	Professional	TC	$28.18	$51.29	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $63.10 / $114.82	Professional		$50.12	$63.10	$114.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.95 / $32.36	Professional	26	$15.14	$19.95	$32.36
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $53.70 / $89.13	Professional	TC	$41.69	$53.70	$89.13
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 $338.84 / $436.52 / $436.52	Professional		$338.84	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $125.89 / $125.89	Professional	26	$123.03	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $316.23 / $316.23	Professional	TC	$288.40	$316.23	$316.23
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $33.11 / $58.88	Professional		$18.20	$33.11	$58.88
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $70.79 / $131.83	Professional		$43.65	$70.79	$131.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $18.62 / $35.48	Professional	26	$13.49	$18.62	$35.48
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $44.67 / $85.11	Professional	TC	$29.51	$44.67	$85.11
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	TC	$117.49	$117.49	$117.49
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $131.83	Professional		$56.23	$75.86	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $56.23 / $147.91	Professional		$38.90	$56.23	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $17.38 / $66.07	Professional	26	$12.30	$17.38	$66.07
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.02 / $85.11	Professional	TC	$28.18	$38.02	$85.11

California rates for HCPCS 71111