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 $60.26 / $338.84 / $831.76	Facility		$60.26	$338.84	$831.76
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $13.49 / $30.90	Facility	26	$10.00	$13.49	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $38.90 / $169.82 / $501.19	Facility	TC	$38.90	$169.82	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $56.23 / $169.82	Professional		$36.31	$56.23	$169.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $17.38 / $48.98	Professional	26	$10.00	$17.38	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $43.65 / $125.89	Professional	TC	$25.70	$43.65	$125.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $41.69 / $79.43	Professional		$28.84	$41.69	$79.43
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $15.49 / $24.55	Professional	26	$8.51	$15.49	$24.55
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $63.10	Professional	TC	$22.91	$36.31	$63.10
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $14.13 / $213.80	Facility		$12.59	$14.13	$213.80
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $54.95 / $107.15	Professional		$39.81	$54.95	$107.15
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.22 / $31.62	Professional	26	$11.75	$16.22	$31.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.90 / $75.86	Professional	TC	$28.84	$38.90	$75.86
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $162.18 / $316.23	Facility		$67.61	$162.18	$316.23
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $56.23 / $114.82	Professional		$38.90	$56.23	$114.82
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.22 / $29.51	Professional	26	$12.30	$16.22	$29.51
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $39.81 / $85.11	Professional	TC	$26.92	$39.81	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $239.88 / $691.83	Facility		$69.18	$239.88	$691.83
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 Facility Modifier TC Typical Low / Median / Typical High $6.76 / $31.62 / $44.67	Facility	TC	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $50.12 / $93.33	Professional		$31.62	$50.12	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $27.54	Professional	26	$9.55	$14.13	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $35.48 / $67.61	Professional	TC	$22.91	$35.48	$67.61
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $53.70 / $72.44	Professional		$30.20	$53.70	$72.44
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.59 / $16.98	Professional	26	$9.33	$12.59	$16.98
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $41.69 / $56.23	Professional	TC	$20.89	$41.69	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $50.12 / $89.13	Professional		$38.90	$50.12	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $23.44	Professional	26	$10.72	$14.13	$23.44
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $43.65 / $77.62	Professional	TC	$33.88	$43.65	$77.62
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $363.08	Facility		$257.04	$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 Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $331.13 / $331.13	Professional		$61.66	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $134.90 / $134.90	Professional	26	$85.11	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $245.47 / $245.47	Professional	TC	$208.93	$245.47	$245.47
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $32.36 / $44.67	Professional		$12.59	$32.36	$44.67
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $53.70 / $100.00	Facility		$36.31	$53.70	$100.00
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	TC	$27.54	$27.54	$27.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $100.00	Professional		$32.36	$51.29	$100.00
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 $22.39 / $33.88 / $63.10	Professional	TC	$22.39	$33.88	$63.10
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $125.89	Professional		$48.98	$48.98	$125.89
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 $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $56.23 / $74.13	Professional		$44.67	$56.23	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $169.82 / $263.03	Facility		$50.12	$169.82	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $42.66 / $114.82	Professional		$28.84	$42.66	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $54.95	Professional	26	$8.91	$12.59	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $29.51 / $95.50	Professional	TC	$20.89	$29.51	$95.50

California rates for HCPCS 72100