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 / $181.97 / $426.58	Facility	26	$141.25	$181.97	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $630.96 / $1,737.80	Professional		$263.03	$630.96	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $154.88 / $407.38	Professional	26	$70.79	$154.88	$407.38
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $213.80 / $870.96 / $1,513.56	Professional	52	$213.80	$870.96	$1,513.56
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $338.84 / $812.83	Professional	TC	$186.21	$338.84	$812.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $234.42 / $446.68	Professional		$181.97	$234.42	$446.68
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $112.20 / $158.49	Professional	26	$60.26	$112.20	$158.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $630.96 / $1,023.29	Professional		$389.05	$630.96	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $89.13 / $199.53	Professional	26	$64.57	$89.13	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $537.03 / $831.76	Professional	TC	$309.03	$537.03	$831.76
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $588.84 / $1,122.02	Professional		$407.38	$588.84	$1,122.02
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $120.23 / $223.87	Professional	26	$85.11	$120.23	$223.87
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $478.63 / $891.25	Professional	TC	$323.59	$478.63	$891.25
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $79.43 / $112.20	Facility	26	$16.98	$79.43	$112.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $478.63 / $891.25	Professional		$229.09	$478.63	$891.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $89.13 / $169.82	Professional	26	$47.86	$89.13	$169.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $371.54 / $724.44	Professional	TC	$165.96	$371.54	$724.44
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $302.00 / $407.38	Professional		$223.87	$302.00	$407.38
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $77.62 / $104.71	Professional	26	$40.74	$77.62	$104.71
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $223.87 / $302.00	Professional	TC	$186.21	$223.87	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $302.00 / $537.03	Professional		$229.09	$302.00	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $91.20 / $173.78	Professional	26	$67.61	$91.20	$173.78
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $257.04 / $436.52	Professional	TC	$190.55	$257.04	$436.52
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,951.21 / $2,951.21 / $3,630.78	Professional		$2,951.21	$2,951.21	$3,630.78
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	26	$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,570.40	Professional	TC	$2,511.89	$2,511.89	$2,570.40
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $83.18 / $316.23	Professional		$32.36	$83.18	$316.23
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $489.78 / $812.83	Professional		$229.09	$489.78	$812.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $83.18 / $151.36	Professional	26	$42.66	$83.18	$151.36
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $363.08 / $707.95	Professional	TC	$165.96	$363.08	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional	TC	$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $295.12 / $389.05	Professional		$223.87	$295.12	$389.05
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $380.19 / $870.96	Professional		$223.87	$380.19	$870.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $79.43 / $245.47	Professional	26	$56.23	$79.43	$245.47
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $288.40 / $645.65	Professional	TC	$165.96	$288.40	$645.65

California rates for HCPCS 72195