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 $10.23 / $13.80 / $29.51	Facility	26	$10.23	$13.80	$29.51
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $97.72 / $389.05	Facility	TC	$26.30	$97.72	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $56.23 / $186.21	Professional		$30.20	$56.23	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $19.05 / $58.88	Professional	26	$10.23	$19.05	$58.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.90 / $123.03	Professional	TC	$19.95	$30.90	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $34.67 / $75.86	Professional		$23.44	$34.67	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $17.78 / $25.70	Professional	26	$8.32	$17.78	$25.70
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $112.20	Professional	TC	$27.54	$27.54	$112.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $66.07 / $112.20	Professional		$50.12	$66.07	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.88 / $35.48	Professional	26	$15.85	$21.88	$35.48
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $75.86	Professional	TC	$33.11	$44.67	$75.86
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $51.29 / $102.33	Professional		$35.48	$51.29	$102.33
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $17.38 / $32.36	Professional	26	$12.02	$17.38	$32.36
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $33.88 / $67.61	Professional	TC	$23.44	$33.88	$67.61
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.69 / $12.59 / $18.20	Facility	26	$2.69	$12.59	$18.20
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $28.18 / $40.74	Facility	TC	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $85.11	Professional		$30.20	$44.67	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $14.79 / $28.18	Professional	26	$9.77	$14.79	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $30.20 / $61.66	Professional	TC	$20.42	$30.20	$61.66
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $47.86 / $64.57	Professional		$30.20	$47.86	$64.57
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.30 / $16.60	Professional	26	$10.00	$12.30	$16.60
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $35.48 / $47.86	Professional	TC	$19.95	$35.48	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $85.11	Professional		$35.48	$44.67	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $23.44	Professional	26	$10.72	$14.13	$23.44
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $37.15 / $66.07	Professional	TC	$28.84	$37.15	$66.07
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 $165.96 / $165.96 / $165.96	Facility	TC	$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $309.03 / $309.03	Professional		$234.42	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $89.13 / $89.13	Professional	26	$70.79	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $223.87 / $223.87	Professional	TC	$165.96	$223.87	$223.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $32.36 / $41.69	Professional		$13.18	$32.36	$41.69
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility	TC	$24.55	$24.55	$24.55
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $47.86 / $93.33	Professional		$30.20	$47.86	$93.33
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.80 / $25.70	Professional	26	$9.33	$13.80	$25.70
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $56.23	Professional	TC	$20.42	$28.84	$56.23
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	TC	$81.28	$81.28	$81.28
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $41.69 / $53.70	Professional		$30.20	$41.69	$53.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.90 / $100.00	Professional		$26.92	$38.90	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.18 / $66.07	Professional	26	$9.33	$13.18	$66.07
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.70 / $91.20	Professional	TC	$17.38	$25.70	$91.20

California rates for HCPCS 74019