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 $15.85 / $23.44 / $47.86	Facility	26	$15.85	$23.44	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $93.33 / $323.59	Professional		$57.54	$93.33	$323.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.99 / $81.28	Professional	26	$12.88	$23.99	$81.28
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $60.26 / $257.04	Professional	TC	$39.81	$60.26	$257.04
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $64.57 / $134.90	Professional		$39.81	$64.57	$134.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $23.44 / $33.11	Professional	26	$10.96	$23.44	$33.11
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $42.66 / $44.67	Professional	TC	$42.66	$42.66	$44.67
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $91.20 / $177.83	Professional		$66.07	$91.20	$177.83
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.70 / $45.71	Professional	26	$19.05	$25.70	$45.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $64.57 / $125.89	Professional	TC	$47.86	$64.57	$125.89
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $91.20 / $177.83	Professional		$63.10	$91.20	$177.83
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.70 / $44.67	Professional	26	$19.50	$25.70	$44.67
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $66.07 / $141.25	Professional	TC	$42.66	$66.07	$141.25
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.55 / $16.60 / $23.44	Facility	26	$3.55	$16.60	$23.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $81.28 / $151.36	Professional		$51.29	$81.28	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $21.38 / $40.74	Professional	26	$13.18	$21.38	$40.74
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $60.26 / $112.20	Professional	TC	$38.02	$60.26	$112.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $114.82	Professional		$50.12	$85.11	$114.82
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $16.60 / $22.39	Professional	26	$15.49	$16.60	$22.39
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $67.61 / $91.20	Professional	TC	$34.67	$67.61	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $134.90	Professional		$61.66	$77.62	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.05 / $30.90	Professional	26	$14.45	$19.05	$30.90
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $70.79 / $128.82	Professional	TC	$54.95	$70.79	$128.82
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $524.81 / $524.81	Professional		$398.11	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $218.78 / $218.78	Professional	26	$141.25	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $407.38 / $407.38	Professional	TC	$354.81	$407.38	$407.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $33.11 / $70.79	Professional		$18.20	$33.11	$70.79
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $85.11 / $154.88	Professional		$51.29	$85.11	$154.88
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $20.42 / $37.15	Professional	26	$12.88	$20.42	$37.15
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $104.71	Professional	TC	$38.02	$57.54	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $199.53	Professional		$72.44	$72.44	$199.53
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	26	$50.12	$50.12	$50.12
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $95.50 / $131.83	Professional		$69.18	$95.50	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $67.61 / $162.18	Professional		$48.98	$67.61	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $18.62 / $72.44	Professional	26	$13.18	$18.62	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $47.86 / $109.65	Professional	TC	$35.48	$47.86	$109.65

California rates for HCPCS 72052