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 / $229.09 / $524.81	Facility	26	$141.25	$229.09	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $602.56 / $2,511.89	Professional		$371.54	$602.56	$2,511.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $151.36 / $478.63	Professional	26	$85.11	$151.36	$478.63
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $371.54 / $1,071.52	Professional	TC	$263.03	$371.54	$1,071.52
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	26	$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $776.25 / $1,348.96	Professional		$524.81	$776.25	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $245.47	Professional	26	$89.13	$131.83	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $630.96 / $1,096.48	Professional	TC	$436.52	$630.96	$1,096.48
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $1,318.26	Professional		$478.63	$691.83	$1,318.26
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $144.54 / $269.15	Professional	26	$102.33	$144.54	$269.15
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $549.54 / $1,023.29	Professional	TC	$371.54	$549.54	$1,023.29
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $562.34 / $1,096.48	Professional		$295.12	$562.34	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $109.65 / $208.93	Professional	26	$60.26	$109.65	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $446.68 / $870.96	Professional	TC	$251.19	$446.68	$870.96
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 / $93.33 / $125.89	Professional	26	$69.18	$93.33	$125.89
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $354.81 / $478.63	Professional	TC	$263.03	$354.81	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $416.87 / $870.96	Professional		$331.13	$416.87	$870.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $107.15 / $181.97	Professional	26	$81.28	$107.15	$181.97
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $371.54 / $676.08	Professional	TC	$288.40	$371.54	$676.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,019.95 / $3,019.95 / $3,162.28	Professional		$3,019.95	$3,019.95	$3,162.28
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $616.60 / $676.08 / $676.08	Professional	26	$616.60	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,570.40 / $2,570.40 / $2,691.53	Professional	TC	$2,570.40	$2,570.40	$2,691.53
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $100.00 / $354.81	Professional		$32.36	$100.00	$354.81
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $602.56 / $977.24	Professional		$295.12	$602.56	$977.24
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $102.33 / $190.55	Professional	26	$51.29	$102.33	$190.55
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $436.52 / $794.33	Professional	TC	$229.09	$436.52	$794.33
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional	26	$288.40	$288.40	$288.40
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional	TC	$1,000.00	$1,000.00	$1,000.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $426.58 / $562.34	Professional		$331.13	$426.58	$562.34
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $446.68 / $1,174.90	Professional		$331.13	$446.68	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $91.20 / $288.40	Professional	26	$67.61	$91.20	$288.40
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $371.54 / $794.33	Professional	TC	$257.04	$371.54	$794.33

California rates for HCPCS 72198