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 $12.02 / $15.85 / $39.81	Facility	26	$12.02	$15.85	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $53.70 / $190.55	Professional		$35.48	$53.70	$190.55
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.50 / $61.66	Professional	26	$10.96	$19.50	$61.66
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $34.67 / $109.65	Professional	TC	$23.44	$34.67	$109.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $56.23 / $162.18	Professional		$30.90	$56.23	$162.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $21.38 / $56.23	Professional	26	$14.13	$21.38	$56.23
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	TC	$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $79.43 / $131.83	Professional		$51.29	$79.43	$131.83
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.70 / $41.69	Professional	26	$17.78	$25.70	$41.69
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $54.95 / $93.33	Professional	TC	$39.81	$54.95	$93.33
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $58.88 / $117.49	Professional		$41.69	$58.88	$117.49
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.13 / $7.59 / $19.50	Professional	26	$5.13	$7.59	$19.50
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $51.29 / $95.50	Professional	TC	$36.31	$51.29	$95.50
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $52.48 / $97.72	Professional		$35.48	$52.48	$97.72
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.98 / $32.36	Professional	26	$10.96	$16.98	$32.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $35.48 / $70.79	Professional	TC	$23.44	$35.48	$70.79
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $58.88 / $79.43	Professional		$34.67	$58.88	$79.43
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $14.45 / $19.50	Professional	26	$11.48	$14.45	$19.50
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $43.65 / $58.88	Professional	TC	$23.44	$43.65	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $54.95 / $93.33	Professional		$42.66	$54.95	$93.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.60 / $27.54	Professional	26	$12.59	$16.60	$27.54
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $45.71 / $83.18	Professional	TC	$36.31	$45.71	$83.18
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $363.08 / $363.08	Professional		$275.42	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $100.00 / $100.00	Professional	26	$79.43	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $263.03 / $263.03	Professional	TC	$194.98	$263.03	$263.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $33.11 / $47.86	Professional		$14.79	$33.11	$47.86
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Facility	26	$10.47	$10.47	$10.47
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $53.70 / $107.15	Professional		$35.48	$53.70	$107.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.85 / $28.84	Professional	26	$10.96	$15.85	$28.84
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $33.88 / $66.07	Professional	TC	$23.44	$33.88	$66.07
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $138.04	Professional		$44.67	$44.67	$138.04
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $63.10	Professional		$34.67	$48.98	$63.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $44.67 / $125.89	Professional		$30.90	$44.67	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.79 / $58.88	Professional	26	$10.72	$14.79	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $70.79	Professional	TC	$19.95	$28.18	$70.79

California rates for HCPCS 72081