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 $31.62 / $323.59 / $776.25	Facility		$31.62	$323.59	$776.25
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $10.72 / $22.91	Facility	26	$7.94	$10.72	$22.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.99 / $91.20 / $457.09	Facility	TC	$23.99	$91.20	$457.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $37.15 / $125.89	Professional		$24.55	$37.15	$125.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.02 / $42.66	Professional	26	$7.94	$12.02	$42.66
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $24.55 / $91.20	Professional	TC	$15.85	$24.55	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $29.51 / $63.10	Professional		$20.42	$29.51	$63.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $13.18 / $19.50	Professional	26	$6.92	$13.18	$19.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $18.20 / $38.02	Professional	TC	$15.49	$18.20	$38.02
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $10.96 / $147.91	Facility		$9.77	$10.96	$147.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.90 / $79.43	Professional		$27.54	$38.90	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.30 / $23.99	Professional	26	$9.12	$12.30	$23.99
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $26.92 / $56.23	Professional	TC	$18.62	$26.92	$56.23
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $125.89 / $281.84	Facility		$56.23	$125.89	$281.84
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $79.43	Professional		$33.11	$44.67	$79.43
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $12.59 / $23.44	Professional	26	$9.55	$12.59	$23.44
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $32.36 / $54.95	Professional	TC	$23.44	$32.36	$54.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $239.88 / $691.83	Facility		$46.77	$239.88	$691.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $4.57 / $21.38 / $30.20	Facility	TC	$4.57	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $37.15 / $74.13	Professional		$23.99	$37.15	$74.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $21.38	Professional	26	$7.41	$10.96	$21.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $25.70 / $53.70	Professional	TC	$16.60	$25.70	$53.70
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $37.15 / $50.12	Professional		$21.38	$37.15	$50.12
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $9.55 / $13.18	Professional	26	$5.62	$9.55	$13.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $27.54 / $37.15	Professional	TC	$15.85	$27.54	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $34.67 / $63.10	Professional		$26.92	$34.67	$63.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.96 / $18.20	Professional	26	$8.32	$10.96	$18.20
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $28.84 / $51.29	Professional	TC	$22.39	$28.84	$51.29
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $363.08 / $363.08	Facility		$177.83	$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 $125.89 / $125.89 / $125.89	Facility	TC	$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $234.42 / $234.42	Professional		$43.65	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $169.82 / $169.82	Professional	TC	$162.18	$169.82	$169.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $31.62 / $33.11	Professional		$10.00	$31.62	$33.11
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $74.13	Facility		$25.12	$38.90	$74.13
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.62 / $18.62 / $18.62	Facility	TC	$18.62	$18.62	$18.62
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $74.13	Professional		$24.55	$38.02	$74.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.47 / $19.05	Professional	26	$7.41	$10.47	$19.05
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $24.55 / $48.98	Professional	TC	$16.60	$24.55	$48.98
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	26	$28.84	$28.84	$28.84
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	TC	$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $52.48	Professional		$30.20	$40.74	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $165.96 / $263.03	Facility		$32.36	$165.96	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $31.62 / $95.50	Professional		$20.42	$31.62	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.00 / $54.95	Professional	26	$6.92	$10.00	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $21.88 / $77.62	Professional	TC	$14.13	$21.88	$77.62

California rates for HCPCS 72170