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 $40.74 / $316.23 / $812.83	Facility		$40.74	$316.23	$812.83
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $11.48 / $23.99	Facility	26	$8.91	$11.48	$23.99
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $114.82 / $416.87	Facility	TC	$28.18	$114.82	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $41.69 / $134.90	Professional		$10.96	$41.69	$134.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $13.80 / $47.86	Professional	26	$8.13	$13.80	$47.86
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $18.62 / $134.90 / $257.04	Professional	50	$18.62	$134.90	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $100.00	Professional	TC	$20.89	$31.62	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $75.86	Professional		$26.30	$39.81	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $14.45 / $39.81	Professional	26	$7.76	$14.45	$39.81
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	50	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $41.69 / $95.50	Professional	TC	$24.55	$41.69	$95.50
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $16.98 / $190.55	Facility		$15.14	$16.98	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $67.61 / $109.65	Professional		$43.65	$67.61	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $18.20 / $28.84	Professional	26	$12.59	$18.20	$28.84
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $41.69 / $54.95 / $100.00	Professional	50	$41.69	$54.95	$100.00
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $48.98 / $83.18	Professional	TC	$35.48	$48.98	$83.18
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $151.36 / $275.42	Facility		$64.57	$151.36	$275.42
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $50.12 / $97.72	Professional		$34.67	$50.12	$97.72
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $5.75 / $13.80	Professional	26	$3.89	$5.75	$13.80
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $43.65 / $83.18	Professional	TC	$30.90	$43.65	$83.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $204.17 / $524.81	Facility		$64.57	$204.17	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.31 / $29.51 / $41.69	Facility	TC	$6.31	$29.51	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $43.65 / $81.28	Professional		$29.51	$43.65	$81.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.02 / $22.39	Professional	26	$7.59	$12.02	$22.39
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $31.62 / $63.10	Professional	TC	$21.38	$31.62	$63.10
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $47.86 / $64.57	Professional		$28.84	$47.86	$64.57
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $10.00 / $13.49	Professional	26	$8.13	$10.00	$13.49
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $38.02 / $51.29	Professional	TC	$20.89	$38.02	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $44.67 / $85.11	Professional		$34.67	$44.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.48 / $19.05	Professional	26	$8.71	$11.48	$19.05
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $39.81 / $70.79	Professional	TC	$30.90	$39.81	$70.79
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $363.08 / $363.08	Facility		$223.87	$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 $169.82 / $169.82 / $169.82	Facility	TC	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $302.00 / $302.00	Professional		$69.18	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $70.79	Professional	26	$54.95	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $229.09 / $229.09	Professional	TC	$169.82	$229.09	$229.09
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $32.36 / $39.81	Professional		$10.47	$32.36	$39.81
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $46.77 / $102.33	Facility		$29.51	$46.77	$102.33
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $7.41 / $7.41	Facility	26	$7.41	$7.41	$7.41
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $45.71 / $89.13	Professional		$29.51	$45.71	$89.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $11.22 / $20.42	Professional	26	$7.59	$11.22	$20.42
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $30.20 / $58.88	Professional	TC	$21.38	$30.20	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional	26	$29.51	$29.51	$29.51
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $40.74 / $52.48	Professional		$28.84	$40.74	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $144.54 / $218.78	Facility		$40.74	$144.54	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $37.15 / $100.00	Professional		$25.70	$37.15	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.47 / $52.48	Professional	26	$7.59	$10.47	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.70 / $61.66	Professional	TC	$18.20	$25.70	$61.66

California rates for HCPCS 73552