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 $57.54 / $398.11 / $912.01	Facility		$57.54	$398.11	$912.01
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $11.75 / $26.30	Facility	26	$8.91	$11.75	$26.30
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $34.67 / $151.36 / $478.63	Facility	TC	$34.67	$151.36	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $53.70 / $199.53	Professional		$13.49	$53.70	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $17.78 / $54.95	Professional	26	$8.71	$17.78	$54.95
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $21.88 / $102.33 / $251.19	Professional	50	$21.88	$102.33	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $45.71 / $144.54	Professional	TC	$24.55	$45.71	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $43.65 / $79.43	Professional		$31.62	$43.65	$79.43
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $14.79 / $33.11	Professional	26	$7.41	$14.79	$33.11
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $46.77 / $50.12 / $147.91	Professional	50	$46.77	$50.12	$147.91
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $40.74 / $109.65	Professional	TC	$26.92	$40.74	$109.65
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $11.75 / $229.09	Facility		$10.72	$11.75	$229.09
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $47.86 / $100.00	Professional		$35.48	$47.86	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $26.30	Professional	26	$9.77	$13.80	$26.30
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $58.88 / $109.65	Professional	50	$45.71	$58.88	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $34.67 / $74.13	Professional	TC	$25.70	$34.67	$74.13
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 $39.81 / $54.95 / $107.15	Professional		$39.81	$54.95	$107.15
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.80 / $25.12	Professional	26	$10.47	$13.80	$25.12
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $40.74 / $79.43	Professional	TC	$29.51	$40.74	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $199.53 / $524.81	Facility		$75.86	$199.53	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.41 / $34.67 / $48.98	Facility	TC	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $93.33	Professional		$31.62	$47.86	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.75 / $23.44	Professional	26	$7.94	$11.75	$23.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $34.67 / $74.13	Professional	TC	$22.39	$34.67	$74.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $57.54 / $77.62	Professional		$23.44	$57.54	$77.62
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $10.96 / $14.79	Professional	26	$5.89	$10.96	$14.79
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $46.77 / $63.10	Professional	TC	$17.38	$46.77	$63.10
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $52.48 / $93.33	Professional		$41.69	$52.48	$93.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $12.59 / $20.42	Professional	26	$9.55	$12.59	$20.42
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $48.98 / $87.10	Professional	TC	$38.02	$48.98	$87.10
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 $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 $204.17 / $204.17 / $204.17	Facility	TC	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $346.74 / $346.74	Professional		$63.10	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $269.15 / $269.15	Professional	TC	$204.17	$269.15	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $33.11 / $45.71	Professional		$10.72	$33.11	$45.71
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $54.95 / $100.00	Facility		$34.67	$54.95	$100.00
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Facility	26	$7.76	$7.76	$7.76
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $48.98 / $102.33	Professional		$32.36	$48.98	$102.33
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.22 / $20.89	Professional	26	$7.94	$11.22	$20.89
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $33.11 / $66.07	Professional	TC	$22.39	$33.11	$66.07
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	26	$30.90	$30.90	$30.90
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $47.86 / $60.26	Professional		$34.67	$47.86	$60.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $144.54 / $218.78	Facility		$46.77	$144.54	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $42.66 / $138.04	Professional		$25.70	$42.66	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $58.88	Professional	26	$7.41	$10.96	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $30.90 / $95.50	Professional	TC	$18.62	$30.90	$95.50

California rates for HCPCS 73562