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 $46.77 / $61.66 / $128.82	Facility	26	$46.77	$61.66	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $275.42 / $977.24	Professional		$138.04	$275.42	$977.24
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $64.57 / $208.93	Professional	26	$43.65	$64.57	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $199.53 / $426.58	Professional	TC	$89.13	$199.53	$426.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $117.49 / $288.40	Professional		$102.33	$117.49	$288.40
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $67.61 / $109.65	Professional	26	$36.31	$67.61	$109.65
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	TC	$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $363.08 / $602.56	Professional		$229.09	$363.08	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $81.28 / $144.54	Professional	26	$53.70	$81.28	$144.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $281.84 / $467.74	Professional	TC	$165.96	$281.84	$467.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $537.03	Professional		$190.55	$281.84	$537.03
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $81.28 / $147.91	Professional	26	$57.54	$81.28	$147.91
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $199.53 / $380.19	Professional	TC	$134.90	$199.53	$380.19
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $75.86	Facility	26	$11.48	$53.70	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $263.03 / $478.63	Professional		$125.89	$263.03	$478.63
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $63.10 / $117.49	Professional	26	$33.11	$63.10	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $186.21 / $363.08	Professional	TC	$85.11	$186.21	$363.08
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $169.82 / $229.09	Professional		$123.03	$169.82	$229.09
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $53.70 / $72.44	Professional	26	$32.36	$53.70	$72.44
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $117.49 / $158.49	Professional	TC	$91.20	$117.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $165.96 / $309.03	Professional		$125.89	$165.96	$309.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $61.66 / $100.00	Professional	26	$46.77	$61.66	$100.00
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $125.89 / $218.78	Professional	TC	$97.72	$125.89	$218.78
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Facility	26	$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $1,659.59 / $1,659.59	Professional		$316.23	$1,659.59	$1,659.59
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional	26	$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,348.96	Professional	TC	$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $56.23 / $151.36	Professional		$32.36	$56.23	$151.36
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $269.15 / $436.52	Professional		$125.89	$269.15	$436.52
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $60.26 / $102.33	Professional	26	$29.51	$60.26	$102.33
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $181.97 / $354.81	Professional	TC	$83.18	$181.97	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	26	$162.18	$162.18	$162.18
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $190.55 / $562.34	Professional		$138.04	$190.55	$562.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $199.53 / $489.78	Professional		$128.82	$199.53	$489.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $165.96	Professional	26	$41.69	$57.54	$165.96
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $147.91 / $323.59	Professional	TC	$91.20	$147.91	$323.59

California rates for HCPCS 72131