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 $15.14 / $28.84 / $93.33	Facility	26	$15.14	$28.84	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $288.40	Professional		$51.29	$72.44	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $20.42 / $57.54	Professional	26	$13.80	$20.42	$57.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $48.98 / $158.49	Professional	TC	$37.15	$48.98	$158.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $85.11 / $151.36	Professional		$42.66	$85.11	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $28.18 / $34.67	Professional	26	$11.48	$28.18	$34.67
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $117.49 / $190.55	Professional		$74.13	$117.49	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $30.90 / $50.12	Professional	26	$21.38	$30.90	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $87.10 / $144.54	Professional	TC	$61.66	$87.10	$144.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $87.10 / $173.78	Professional		$60.26	$87.10	$173.78
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.33 / $23.44	Professional	26	$6.31	$9.33	$23.44
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $77.62 / $144.54	Professional	TC	$53.70	$77.62	$144.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $75.86 / $141.25	Professional		$50.12	$75.86	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $20.42 / $38.90	Professional	26	$13.18	$20.42	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $54.95 / $112.20	Professional	TC	$37.15	$54.95	$112.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $83.18 / $112.20	Professional		$51.29	$83.18	$112.20
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $16.98 / $22.91	Professional	26	$13.80	$16.98	$22.91
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $66.07 / $89.13	Professional	TC	$37.15	$66.07	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $75.86 / $151.36	Professional		$60.26	$75.86	$151.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $19.50 / $31.62	Professional	26	$14.79	$19.50	$31.62
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $69.18 / $123.03	Professional	TC	$53.70	$69.18	$123.03
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $524.81 / $524.81	Professional		$398.11	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $123.03 / $123.03	Professional	26	$93.33	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $398.11 / $398.11	Professional	TC	$302.00	$398.11	$398.11
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $33.11 / $69.18	Professional		$17.78	$33.11	$69.18
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $79.43 / $154.88	Professional		$51.29	$79.43	$154.88
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.05 / $34.67	Professional	26	$13.18	$19.05	$34.67
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $52.48 / $102.33	Professional	TC	$37.15	$52.48	$102.33
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	TC	$144.54	$144.54	$144.54
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $70.79 / $91.20	Professional		$51.29	$70.79	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $64.57 / $173.78	Professional		$45.71	$64.57	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.78 / $64.57	Professional	26	$12.88	$17.78	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $46.77 / $134.90	Professional	TC	$32.36	$46.77	$134.90

California rates for HCPCS 73523