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 Typical Low / Median / Typical High $42.66 / $380.19 / $891.25	Facility		$42.66	$380.19	$891.25
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $10.00 / $22.91	Facility	26	$7.94	$10.00	$22.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.11 / $154.88 / $478.63	Facility	TC	$33.11	$154.88	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $44.67 / $154.88	Professional		$12.02	$44.67	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $14.79 / $45.71	Professional	26	$7.76	$14.79	$45.71
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $25.12 / $79.43 / $186.21	Professional	50	$25.12	$79.43	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $40.74 / $120.23	Professional	TC	$21.88	$40.74	$120.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $75.86	Professional		$25.12	$34.67	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.77 / $19.50	Professional	26	$6.76	$9.77	$19.50
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $38.90 / $54.95	Professional	50	$38.90	$38.90	$54.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $39.81 / $56.23	Professional	TC	$22.91	$39.81	$56.23
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $10.72 / $177.83	Facility		$9.55	$10.72	$177.83
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $46.77 / $87.10	Professional		$33.88	$46.77	$87.10
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.30 / $23.99	Professional	26	$9.12	$12.30	$23.99
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $47.86 / $89.13	Professional	50	$38.90	$47.86	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.88 / $63.10	Professional	TC	$24.55	$33.88	$63.10
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $138.04 / $269.15	Facility		$60.26	$138.04	$269.15
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $95.50	Professional		$34.67	$48.98	$95.50
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.30 / $22.39	Professional	26	$9.12	$12.30	$22.39
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $36.31 / $72.44	Professional	TC	$25.12	$36.31	$72.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $199.53 / $524.81	Facility		$58.88	$199.53	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $5.62 / $26.30 / $38.02	Facility	TC	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $41.69 / $81.28	Professional		$27.54	$41.69	$81.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $21.38	Professional	26	$7.41	$10.96	$21.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $31.62 / $61.66	Professional	TC	$19.95	$31.62	$61.66
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $44.67 / $60.26	Professional		$25.70	$44.67	$60.26
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.55 / $13.18	Professional	26	$7.08	$9.55	$13.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $34.67 / $46.77	Professional	TC	$19.05	$34.67	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $40.74 / $77.62	Professional		$32.36	$40.74	$77.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.96 / $18.20	Professional	26	$8.32	$10.96	$18.20
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $36.31 / $64.57	Professional	TC	$28.18	$36.31	$64.57
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $363.08 / $363.08	Facility		$208.93	$363.08	$363.08
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 Facility Modifier TC Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	TC	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $275.42 / $275.42	Professional		$51.29	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $208.93 / $208.93	Professional	TC	$177.83	$208.93	$208.93
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $32.36 / $37.15	Professional		$10.00	$32.36	$37.15
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $45.71 / $83.18	Facility		$29.51	$45.71	$83.18
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $44.67 / $83.18	Professional		$28.18	$44.67	$83.18
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.23 / $19.05	Professional	26	$7.41	$10.23	$19.05
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.20 / $56.23	Professional	TC	$19.95	$30.20	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	26	$28.84	$28.84	$28.84
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $48.98 / $63.10	Professional		$36.31	$48.98	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $144.54 / $218.78	Facility		$38.02	$144.54	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $35.48 / $97.72	Professional		$25.12	$35.48	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.77 / $40.74	Professional	26	$6.61	$9.77	$40.74
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.30 / $87.10	Professional	TC	$19.05	$26.30	$87.10

California rates for HCPCS 73080