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 / $245.47 / $794.33	Facility		$42.66	$245.47	$794.33
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $30.20	Facility	26	$10.47	$14.13	$30.20
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $34.67 / $125.89 / $389.05	Facility	TC	$34.67	$125.89	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $186.21	Professional		$36.31	$54.95	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.49 / $50.12	Professional	26	$10.00	$15.49	$50.12
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $38.02 / $147.91	Professional	50	$38.02	$38.02	$147.91
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $72.44 / $162.18	Professional	52	$38.02	$72.44	$162.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $36.31 / $125.89	Professional	TC	$25.12	$36.31	$125.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $43.65 / $83.18	Professional		$31.62	$43.65	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $14.13 / $23.99	Professional	26	$8.32	$14.13	$23.99
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $64.57 / $70.79	Professional	TC	$28.84	$64.57	$70.79
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $20.42 / $223.87	Facility		$18.62	$20.42	$223.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $83.18 / $134.90	Professional		$50.12	$83.18	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $22.39 / $35.48	Professional	26	$15.49	$22.39	$35.48
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $51.29 / $64.57 / $123.03	Professional	50	$51.29	$64.57	$123.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $60.26 / $97.72	Professional	TC	$42.66	$60.26	$97.72
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $199.53 / $371.54	Facility		$75.86	$199.53	$371.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $61.66 / $117.49	Professional		$42.66	$61.66	$117.49
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.90 / $7.24 / $16.98	Professional	26	$4.90	$7.24	$16.98
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $53.70 / $100.00	Professional	TC	$38.02	$53.70	$100.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $309.03 / $691.83	Facility		$74.13	$309.03	$691.83
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 Facility Modifier TC Typical Low / Median / Typical High $7.08 / $33.11 / $47.86	Facility	TC	$7.08	$33.11	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $52.48 / $97.72	Professional		$33.88	$52.48	$97.72
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $14.79 / $28.18	Professional	26	$9.33	$14.79	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $37.15 / $75.86	Professional	TC	$24.55	$37.15	$75.86
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $56.23 / $75.86	Professional		$34.67	$56.23	$75.86
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $12.59 / $16.98	Professional	26	$9.77	$12.59	$16.98
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $43.65 / $58.88	Professional	TC	$25.12	$43.65	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $51.29 / $97.72	Professional		$40.74	$51.29	$97.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $23.44	Professional	26	$10.72	$14.13	$23.44
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $45.71 / $81.28	Professional	TC	$35.48	$45.71	$81.28
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $363.08 / $363.08	Facility		$263.03	$363.08	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Facility	TC	$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $346.74 / $346.74	Professional		$263.03	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $87.10 / $87.10	Professional	26	$67.61	$87.10	$87.10
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $263.03 / $263.03	Professional	TC	$194.98	$263.03	$263.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $33.11 / $46.77	Professional		$12.59	$33.11	$46.77
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $54.95 / $120.23	Facility		$34.67	$54.95	$120.23
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 Facility Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Facility	TC	$28.84	$28.84	$28.84
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $54.95 / $104.71	Professional		$34.67	$54.95	$104.71
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.80 / $25.12	Professional	26	$9.33	$13.80	$25.12
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $36.31 / $70.79	Professional	TC	$24.55	$36.31	$70.79
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $63.10	Professional		$34.67	$48.98	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $169.82 / $263.03	Facility		$47.86	$169.82	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $44.67 / $120.23	Professional		$31.62	$44.67	$120.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.59 / $51.29	Professional	26	$9.33	$12.59	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $29.51 / $70.79	Professional	TC	$22.39	$29.51	$70.79

California rates for HCPCS 73521