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 $10.00 / $14.13 / $30.90	Facility	26	$10.00	$14.13	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $40.74 / $169.82 / $588.84	Facility	TC	$40.74	$169.82	$588.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $60.26 / $218.78	Professional		$24.55	$60.26	$218.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $21.88 / $66.07	Professional	26	$10.47	$21.88	$66.07
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $123.03 / $302.00	Professional	50	$56.23	$123.03	$302.00
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	52	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $54.95 / $169.82	Professional	TC	$28.84	$54.95	$169.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $51.29 / $104.71	Professional		$34.67	$51.29	$104.71
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $16.60 / $25.70	Professional	26	$9.77	$16.60	$25.70
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $53.70 / $70.79 / $169.82	Professional	50	$53.70	$70.79	$169.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $56.23 / $87.10	Professional	TC	$23.99	$56.23	$87.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $112.20	Professional		$40.74	$54.95	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.60 / $31.62	Professional	26	$11.75	$16.60	$31.62
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $51.29 / $67.61 / $104.71	Professional	50	$51.29	$67.61	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $38.90 / $83.18	Professional	TC	$29.51	$38.90	$83.18
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $61.66 / $120.23	Professional		$43.65	$61.66	$120.23
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.22 / $29.51	Professional	26	$12.30	$16.22	$29.51
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $44.67 / $91.20	Professional	TC	$31.62	$44.67	$91.20
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.69 / $12.59 / $17.78	Facility	26	$2.69	$12.59	$17.78
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $8.51 / $39.81 / $56.23	Facility	TC	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $53.70 / $107.15	Professional		$36.31	$53.70	$107.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $28.18	Professional	26	$9.55	$14.13	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $38.90 / $81.28	Professional	TC	$25.70	$38.90	$81.28
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $66.07 / $91.20	Professional		$27.54	$66.07	$91.20
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $12.88 / $17.38	Professional	26	$7.41	$12.88	$17.38
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $53.70 / $72.44	Professional	TC	$20.42	$53.70	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $61.66 / $107.15	Professional		$47.86	$61.66	$107.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $14.79 / $24.55	Professional	26	$11.22	$14.79	$24.55
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $56.23 / $102.33	Professional	TC	$43.65	$56.23	$102.33
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 $229.09 / $229.09 / $229.09	Facility	TC	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $398.11 / $398.11	Professional		$70.79	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $309.03 / $309.03	Professional	TC	$229.09	$309.03	$309.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $33.11 / $52.48	Professional		$13.18	$33.11	$52.48
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $9.55	Facility	26	$9.55	$9.55	$9.55
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Facility	TC	$34.67	$34.67	$34.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $56.23 / $114.82	Professional		$36.31	$56.23	$114.82
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $13.49 / $25.12	Professional	26	$9.55	$13.49	$25.12
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $37.15 / $74.13	Professional	TC	$25.12	$37.15	$74.13
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $109.65 / $109.65 / $109.65	Professional	TC	$109.65	$109.65	$109.65
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $70.79	Professional		$41.69	$56.23	$70.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $48.98 / $151.36	Professional		$30.20	$48.98	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $60.26	Professional	26	$8.91	$12.59	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $83.18	Professional	TC	$20.89	$33.11	$83.18

California rates for HCPCS 73564