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 $32.36 / $63.10 / $190.55	Facility	26	$32.36	$63.10	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $134.90 / $467.74	Professional		$93.33	$134.90	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $46.77 / $125.89	Professional	26	$30.20	$46.77	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $81.28 / $204.17	Professional	TC	$63.10	$81.28	$204.17
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $151.36 / $245.47	Professional		$95.50	$151.36	$245.47
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $61.66 / $194.98	Professional	26	$19.95	$61.66	$194.98
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $158.49 / $309.03	Professional		$117.49	$158.49	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $47.86 / $95.50	Professional	26	$35.48	$47.86	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $109.65 / $213.80	Professional	TC	$81.28	$109.65	$213.80
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $323.59	Professional		$117.49	$169.82	$323.59
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $51.29 / $97.72	Professional	26	$36.31	$51.29	$97.72
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $229.09	Professional	TC	$81.28	$114.82	$229.09
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $263.03	Professional		$93.33	$141.25	$263.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $43.65 / $85.11	Professional	26	$29.51	$43.65	$85.11
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $100.00 / $199.53	Professional	TC	$64.57	$100.00	$199.53
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $141.25 / $190.55	Professional		$100.00	$141.25	$190.55
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $37.15 / $50.12	Professional	26	$30.90	$37.15	$50.12
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $102.33 / $138.04	Professional	TC	$69.18	$102.33	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $131.83 / $239.88	Professional		$102.33	$131.83	$239.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $69.18	Professional	26	$31.62	$42.66	$69.18
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $109.65 / $194.98	Professional	TC	$85.11	$109.65	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $912.01 / $912.01	Professional		$724.44	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $208.93 / $269.15 / $269.15	Professional	26	$208.93	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $630.96 / $630.96	Professional	TC	$524.81	$630.96	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $147.91 / $281.84	Professional		$93.33	$147.91	$281.84
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $41.69 / $77.62	Professional	26	$28.84	$41.69	$77.62
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $95.50 / $177.83	Professional	TC	$63.10	$95.50	$177.83
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	TC	$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $128.82 / $169.82	Professional		$100.00	$128.82	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $114.82 / $371.54	Professional		$87.10	$114.82	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $37.15 / $107.15	Professional	26	$28.18	$37.15	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $77.62 / $177.83	Professional	TC	$58.88	$77.62	$177.83

California rates for HCPCS 74221