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 $20.89 / $26.92 / $75.86	Facility	26	$20.89	$26.92	$75.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $112.20 / $457.09	Professional		$81.28	$112.20	$457.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $40.74 / $107.15	Professional	26	$20.89	$40.74	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $181.97	Professional	TC	$56.23	$77.62	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $169.82	Professional		$128.82	$128.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $35.48 / $67.61	Professional	26	$21.38	$35.48	$67.61
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	TC	$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $109.65 / $245.47	Professional		$83.18	$109.65	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $33.11 / $70.79	Professional	26	$25.12	$33.11	$70.79
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $177.83	Professional	TC	$56.23	$77.62	$177.83
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $257.04	Professional		$100.00	$131.83	$257.04
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.88 / $64.57	Professional	26	$25.70	$33.88	$64.57
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $97.72 / $190.55	Professional	TC	$74.13	$97.72	$190.55
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $32.36 / $46.77	Facility	26	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $218.78	Professional		$75.86	$114.82	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.90 / $69.18	Professional	26	$20.89	$30.90	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $81.28 / $177.83	Professional	TC	$52.48	$81.28	$177.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $125.89 / $169.82	Professional		$38.02	$125.89	$169.82
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $31.62 / $42.66	Professional	26	$9.55	$31.62	$42.66
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $93.33 / $125.89	Professional	TC	$28.84	$93.33	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $117.49 / $223.87	Professional		$91.20	$117.49	$223.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $36.31 / $60.26	Professional	26	$27.54	$36.31	$60.26
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $97.72 / $173.78	Professional	TC	$75.86	$97.72	$173.78
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $812.83 / $812.83	Professional		$645.65	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $229.09 / $229.09	Professional	26	$181.97	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $575.44 / $575.44	Professional	TC	$467.74	$575.44	$575.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $112.20	Professional		$32.36	$34.67	$112.20
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $245.47	Professional		$77.62	$117.49	$245.47
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $28.84 / $58.88	Professional	26	$20.42	$28.84	$58.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $79.43 / $158.49	Professional	TC	$52.48	$79.43	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional	TC	$223.87	$223.87	$223.87
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $93.33 / $114.82	Professional		$57.54	$93.33	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $97.72 / $263.03	Professional		$64.57	$97.72	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $30.90 / $95.50	Professional	26	$17.78	$30.90	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $69.18 / $158.49	Professional	TC	$45.71	$69.18	$158.49

California rates for HCPCS 74220