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 $54.95 / $107.15 / $354.81	Facility	26	$54.95	$107.15	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $316.23 / $1,096.48	Professional		$169.82	$316.23	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $87.10 / $257.04	Professional	26	$54.95	$87.10	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $229.09 / $549.54	Professional	TC	$114.82	$229.09	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $70.79 / $100.00	Professional	26	$43.65	$70.79	$100.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $436.52 / $741.31	Professional		$275.42	$436.52	$741.31
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $85.11 / $162.18	Professional	26	$60.26	$85.11	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $346.74 / $588.84	Professional	TC	$213.80	$346.74	$588.84
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $389.05 / $724.44	Professional		$269.15	$389.05	$724.44
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $97.72 / $177.83	Professional	26	$70.79	$97.72	$177.83
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $295.12 / $524.81	Professional	TC	$199.53	$295.12	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $66.07 / $93.33	Facility	26	$14.13	$66.07	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $323.59 / $588.84	Professional		$158.49	$323.59	$588.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $70.79 / $141.25	Professional	26	$40.74	$70.79	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $239.88 / $457.09	Professional	TC	$114.82	$239.88	$457.09
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $223.87 / $302.00	Professional		$162.18	$223.87	$302.00
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $64.57 / $87.10	Professional	26	$40.74	$64.57	$87.10
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $158.49 / $213.80	Professional	TC	$123.03	$158.49	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $213.80 / $436.52	Professional		$162.18	$213.80	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $74.13 / $120.23	Professional	26	$57.54	$74.13	$120.23
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $169.82 / $295.12	Professional	TC	$128.82	$169.82	$295.12
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $446.68 / $457.09 / $457.09	Professional	26	$446.68	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Professional	TC	$1,621.81	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $69.18 / $213.80	Professional		$32.36	$69.18	$213.80
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Facility	26	$48.98	$48.98	$48.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $331.13 / $524.81	Professional		$165.96	$331.13	$524.81
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $69.18 / $123.03	Professional	26	$35.48	$69.18	$123.03
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $229.09 / $436.52	Professional	TC	$112.20	$229.09	$436.52
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional	TC	$457.09	$457.09	$457.09
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $616.60	Professional		$181.97	$251.19	$616.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $251.19 / $549.54	Professional		$169.82	$251.19	$549.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $64.57 / $199.53	Professional	26	$46.77	$64.57	$199.53
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $186.21 / $407.38	Professional	TC	$114.82	$186.21	$407.38

California rates for HCPCS 72126