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 $38.90 / $257.04 / $660.69	Facility		$38.90	$257.04	$660.69
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $10.96 / $23.99	Facility	26	$8.13	$10.96	$23.99
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.39 / $93.33 / $389.05	Facility	TC	$22.39	$93.33	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $47.86 / $141.25	Professional		$25.12	$47.86	$141.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $13.18 / $44.67	Professional	26	$8.13	$13.18	$44.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $26.92 / $95.50	Professional	TC	$16.60	$26.92	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $30.90 / $58.88	Professional		$19.05	$30.90	$58.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $13.49 / $20.89	Professional	26	$7.24	$13.49	$20.89
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $23.99 / $93.33	Professional	TC	$18.62	$23.99	$93.33
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $15.85 / $158.49	Facility		$13.80	$15.85	$158.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $93.33	Professional		$40.74	$54.95	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.38 / $27.54	Professional	26	$12.59	$17.38	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $37.15 / $63.10	Professional	TC	$27.54	$37.15	$63.10
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $125.89 / $239.88	Facility		$53.70	$125.89	$239.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $41.69 / $83.18	Professional		$28.84	$41.69	$83.18
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $13.49 / $25.12	Professional	26	$9.55	$13.49	$25.12
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.18 / $57.54	Professional	TC	$19.50	$28.18	$57.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $199.53 / $524.81	Facility		$51.29	$199.53	$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 $5.01 / $23.44 / $33.11	Facility	TC	$5.01	$23.44	$33.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $37.15 / $69.18	Professional		$24.55	$37.15	$69.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $11.48 / $22.39	Professional	26	$7.59	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $25.12 / $51.29	Professional	TC	$16.98	$25.12	$51.29
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $39.81 / $53.70	Professional		$24.55	$39.81	$53.70
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.00 / $13.49	Professional	26	$7.94	$10.00	$13.49
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $29.51 / $39.81	Professional	TC	$16.60	$29.51	$39.81
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $37.15 / $63.10	Professional		$28.84	$37.15	$63.10
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 $23.99 / $30.90 / $54.95	Professional	TC	$23.99	$30.90	$54.95
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $363.08 / $363.08	Facility		$194.98	$363.08	$363.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility	TC	$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $251.19 / $251.19	Professional		$46.77	$251.19	$251.19
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 $138.04 / $181.97 / $181.97	Professional	TC	$138.04	$181.97	$181.97
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $32.36 / $33.88	Professional		$10.47	$32.36	$33.88
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $87.10	Facility		$25.12	$38.90	$87.10
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 $20.42 / $20.42 / $20.42	Facility	TC	$20.42	$20.42	$20.42
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $75.86	Professional		$25.12	$38.02	$75.86
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.96 / $20.42	Professional	26	$7.59	$10.96	$20.42
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $46.77	Professional	TC	$16.98	$23.99	$46.77
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
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 $66.07 / $66.07 / $66.07	Professional	TC	$66.07	$66.07	$66.07
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $34.67 / $44.67	Professional		$24.55	$34.67	$44.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $144.54 / $218.78	Facility		$34.67	$144.54	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $32.36 / $97.72	Professional		$21.88	$32.36	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.47 / $48.98	Professional	26	$7.41	$10.47	$48.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $21.88 / $83.18	Professional	TC	$14.45	$21.88	$83.18

California rates for HCPCS 74018