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 $141.25 / $190.55 / $295.12	Facility	26	$141.25	$190.55	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $575.44 / $2,398.83	Professional		$338.84	$575.44	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $204.17 / $537.03	Professional	26	$107.15	$204.17	$537.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $354.81 / $1,445.44	Professional	TC	$239.88	$354.81	$1,445.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $426.58 / $758.58	Professional		$281.84	$426.58	$758.58
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $177.83 / $257.04	Professional	26	$102.33	$177.83	$257.04
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $1,071.52 / $1,778.28	Professional		$549.54	$1,071.52	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $165.96 / $323.59	Professional	26	$114.82	$165.96	$323.59
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $870.96 / $1,548.82	Professional	TC	$398.11	$870.96	$1,548.82
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $645.65 / $1,230.27	Professional		$446.68	$645.65	$1,230.27
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $186.21 / $354.81	Professional	26	$131.83	$186.21	$354.81
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $457.09 / $870.96	Professional	TC	$316.23	$457.09	$870.96
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $123.03 / $177.83	Facility	26	$26.92	$123.03	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $616.60 / $1,479.11	Professional		$302.00	$616.60	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $134.90 / $269.15	Professional	26	$75.86	$134.90	$269.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $457.09 / $1,258.93	Professional	TC	$208.93	$457.09	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $416.87 / $562.34	Professional		$309.03	$416.87	$562.34
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $120.23 / $162.18	Professional	26	$91.20	$120.23	$162.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $302.00 / $407.38	Professional	TC	$223.87	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $407.38 / $812.83	Professional		$309.03	$407.38	$812.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $141.25 / $275.42	Professional	26	$104.71	$141.25	$275.42
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $323.59 / $575.44	Professional	TC	$245.47	$323.59	$575.44
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Professional	26	$912.01	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5,754.40 / $5,754.40 / $5,754.40	Professional	TC	$5,754.40	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $128.82 / $380.19	Professional		$32.36	$128.82	$380.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $645.65 / $1,412.54	Professional		$309.03	$645.65	$1,412.54
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $131.83 / $234.42	Professional	26	$67.61	$131.83	$234.42
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $457.09 / $1,318.26	Professional	TC	$190.55	$457.09	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Professional	26	$371.54	$371.54	$371.54
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Professional	TC	$851.14	$851.14	$851.14
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $2,344.23	Professional		$346.74	$467.74	$2,344.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $537.03 / $1,412.54	Professional		$316.23	$537.03	$1,412.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $117.49 / $371.54	Professional	26	$85.11	$117.49	$371.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $371.54 / $1,047.13	Professional	TC	$213.80	$371.54	$1,047.13

California rates for HCPCS 72158