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 $25.12 / $48.98 / $165.96	Facility	26	$25.12	$48.98	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $407.38	Professional		$87.10	$131.83	$407.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $95.50	Professional	26	$21.88	$33.11	$95.50
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $107.15 / $269.15	Professional	TC	$72.44	$107.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $354.81	Professional		$102.33	$147.91	$354.81
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $47.86 / $125.89	Professional	26	$27.54	$47.86	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $281.84	Professional	TC	$74.13	$112.20	$281.84
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $316.23	Professional		$100.00	$151.36	$316.23
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.02 / $72.44	Professional	26	$26.30	$38.02	$72.44
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $234.42	Professional	TC	$74.13	$112.20	$234.42
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.46 / $30.20 / $43.65	Facility	26	$6.46	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $147.91 / $281.84	Professional		$97.72	$147.91	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $34.67 / $67.61	Professional	26	$22.91	$34.67	$67.61
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $229.09	Professional	TC	$74.13	$112.20	$229.09
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $181.97 / $245.47	Professional		$50.12	$181.97	$245.47
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $30.90 / $41.69	Professional	26	$13.18	$30.90	$41.69
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $151.36 / $204.17	Professional	TC	$37.15	$151.36	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $165.96 / $281.84	Professional		$131.83	$165.96	$281.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $35.48 / $58.88	Professional	26	$26.92	$35.48	$58.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $158.49 / $288.40	Professional	TC	$123.03	$158.49	$288.40
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,096.48 / $1,096.48	Professional		$851.14	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	26	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $691.83 / $870.96 / $870.96	Professional	TC	$691.83	$870.96	$870.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $33.11 / $147.91	Professional		$31.62	$33.11	$147.91
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $154.88 / $302.00	Professional		$100.00	$154.88	$302.00
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $32.36 / $61.66	Professional	26	$22.91	$32.36	$61.66
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $107.15 / $208.93	Professional	TC	$74.13	$107.15	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	26	$89.13	$89.13	$89.13
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional	TC	$316.23	$316.23	$316.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $123.03 / $169.82	Professional		$75.86	$123.03	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $288.40	Professional		$81.28	$123.03	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $29.51 / $91.20	Professional	26	$21.38	$29.51	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $93.33 / $229.09	Professional	TC	$63.10	$93.33	$229.09

California rates for HCPCS 73040