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 $8.13 / $11.48 / $67.61	Facility	26	$8.13	$11.48	$67.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $57.54 / $181.97	Professional		$31.62	$57.54	$181.97
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $16.22 / $47.86	Professional	26	$8.51	$16.22	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.88 / $128.82	Professional	TC	$22.91	$33.88	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $57.54 / $89.13	Professional		$34.67	$57.54	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $16.60 / $23.99	Professional	26	$8.13	$16.60	$23.99
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.92 / $52.48	Professional	TC	$26.30	$26.92	$52.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $47.86 / $97.72	Professional		$36.31	$47.86	$97.72
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.80 / $27.54	Professional	26	$10.23	$13.80	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $34.67 / $72.44	Professional	TC	$25.70	$34.67	$72.44
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $51.29 / $100.00	Professional		$37.15	$51.29	$100.00
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.49 / $25.12	Professional	26	$10.23	$13.49	$25.12
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $37.15 / $74.13	Professional	TC	$26.30	$37.15	$74.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $46.77 / $89.13	Professional		$30.20	$46.77	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $12.59 / $25.70	Professional	26	$8.32	$12.59	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $33.88 / $67.61	Professional	TC	$22.39	$33.88	$67.61
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $51.29 / $69.18	Professional		$29.51	$51.29	$69.18
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.02 / $16.22	Professional	26	$7.94	$12.02	$16.22
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $39.81 / $53.70	Professional	TC	$21.38	$39.81	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $85.11	Professional		$37.15	$47.86	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.80 / $22.39	Professional	26	$10.23	$13.80	$22.39
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $41.69 / $74.13	Professional	TC	$32.36	$41.69	$74.13
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 Professional Modifier Typical Low / Median / Typical High $251.19 / $331.13 / $331.13	Professional		$251.19	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $245.47 / $245.47	Professional	TC	$181.97	$245.47	$245.47
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $32.36 / $44.67	Professional		$12.88	$32.36	$44.67
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $97.72	Professional		$30.90	$48.98	$97.72
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $11.75 / $21.88	Professional	26	$8.32	$11.75	$21.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $61.66	Professional	TC	$21.88	$32.36	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $57.54 / $74.13	Professional		$42.66	$57.54	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $114.82	Professional		$26.30	$39.81	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $12.02 / $51.29	Professional	26	$7.41	$12.02	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $95.50	Professional	TC	$19.50	$28.84	$95.50

California rates for HCPCS 72202