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 / $389.05	Facility	26	$141.25	$190.55	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $602.56 / $2,754.23	Professional		$354.81	$602.56	$2,754.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $199.53 / $549.54	Professional	26	$102.33	$199.53	$549.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $389.05 / $1,584.89	Professional	TC	$257.04	$389.05	$1,584.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $338.84 / $794.33	Professional		$251.19	$338.84	$794.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $181.97 / $478.63	Professional	26	$87.10	$181.97	$478.63
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $316.23	Professional	TC	$190.55	$190.55	$316.23
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $1,122.02 / $1,862.09	Professional		$588.84	$1,122.02	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $138.04 / $302.00	Professional	26	$100.00	$138.04	$302.00
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $912.01 / $1,659.59	Professional	TC	$436.52	$912.01	$1,659.59
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $870.96 / $1,584.89	Professional		$602.56	$870.96	$1,584.89
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $186.21 / $346.74	Professional	26	$131.83	$186.21	$346.74
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $676.08 / $1,258.93	Professional	TC	$467.74	$676.08	$1,258.93
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $120.23 / $169.82	Facility	26	$25.70	$120.23	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $691.83 / $1,479.11	Professional		$331.13	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $134.90 / $257.04	Professional	26	$72.44	$134.90	$257.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $524.81 / $1,288.25	Professional	TC	$245.47	$524.81	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $446.68 / $602.56	Professional		$331.13	$446.68	$602.56
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $117.49 / $158.49	Professional	26	$69.18	$117.49	$158.49
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $323.59 / $446.68	Professional	TC	$263.03	$323.59	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $426.58 / $812.83	Professional		$323.59	$426.58	$812.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $134.90 / $263.03	Professional	26	$100.00	$134.90	$263.03
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $354.81 / $630.96	Professional	TC	$269.15	$354.81	$630.96
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Professional	26	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5,623.41 / $5,623.41 / $5,623.41	Professional	TC	$5,623.41	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $123.03 / $467.74	Professional		$32.36	$123.03	$467.74
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	26	$87.10	$87.10	$87.10
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $691.83 / $1,479.11	Professional		$338.84	$691.83	$1,479.11
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $125.89 / $218.78	Professional	26	$64.57	$125.89	$218.78
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $512.86 / $1,318.26	Professional	TC	$239.88	$512.86	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	26	$354.81	$354.81	$354.81
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $954.99 / $954.99 / $954.99	Professional	TC	$954.99	$954.99	$954.99
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $436.52 / $562.34	Professional		$331.13	$436.52	$562.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $562.34 / $1,445.44	Professional		$316.23	$562.34	$1,445.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $112.20 / $354.81	Professional	26	$85.11	$112.20	$354.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $407.38 / $1,148.15	Professional	TC	$239.88	$407.38	$1,148.15

California rates for HCPCS 72197