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 / $218.78 / $501.19	Facility	26	$141.25	$218.78	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $501.19 / $1,995.26	Professional		$281.84	$501.19	$1,995.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $141.25 / $426.58	Professional	26	$81.28	$141.25	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $338.84 / $1,023.29	Professional	TC	$194.98	$338.84	$1,023.29
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $66.07 / $112.20	Professional	26	$66.07	$66.07	$112.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $707.95 / $1,174.90	Professional		$467.74	$707.95	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $120.23 / $239.88	Professional	26	$85.11	$120.23	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $588.84 / $977.24	Professional	TC	$354.81	$588.84	$977.24
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $707.95 / $1,258.93	Professional		$489.78	$707.95	$1,258.93
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $141.25 / $257.04	Professional	26	$100.00	$141.25	$257.04
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $562.34 / $1,000.00	Professional	TC	$389.05	$562.34	$1,000.00
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $93.33 / $131.83	Facility	26	$19.95	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $549.54 / $1,023.29	Professional		$269.15	$549.54	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $104.71 / $199.53	Professional	26	$57.54	$104.71	$199.53
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $416.87 / $831.76	Professional	TC	$194.98	$416.87	$831.76
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $478.63	Professional		$263.03	$354.81	$478.63
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $91.20 / $123.03	Professional	26	$52.48	$91.20	$123.03
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $263.03 / $354.81	Professional	TC	$213.80	$263.03	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $691.83	Professional		$263.03	$354.81	$691.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $109.65 / $204.17	Professional	26	$81.28	$109.65	$204.17
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $302.00 / $512.86	Professional	TC	$223.87	$302.00	$512.86
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Professional	26	$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3,019.95 / $3,019.95 / $3,019.95	Professional	TC	$3,019.95	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $97.72 / $380.19	Professional		$32.36	$97.72	$380.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Facility	26	$69.18	$69.18	$69.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $562.34 / $933.25	Professional		$269.15	$562.34	$933.25
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $97.72 / $177.83	Professional	26	$50.12	$97.72	$177.83
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $416.87 / $812.83	Professional	TC	$190.55	$416.87	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	26	$281.84	$281.84	$281.84
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Professional	TC	$758.58	$758.58	$758.58
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $398.11 / $1,380.38	Professional		$288.40	$398.11	$1,380.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $426.58 / $912.01	Professional		$269.15	$426.58	$912.01
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $89.13 / $275.42	Professional	26	$67.61	$89.13	$275.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $338.84 / $724.44	Professional	TC	$190.55	$338.84	$724.44

California rates for HCPCS 72196