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 $23.99 / $35.48 / $67.61	Facility	26	$23.99	$35.48	$67.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $134.90 / $446.68	Professional		$85.11	$134.90	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $37.15 / $109.65	Professional	26	$22.91	$37.15	$109.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $97.72 / $234.42	Professional	TC	$67.61	$97.72	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $281.84	Professional		$234.42	$234.42	$281.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $39.81 / $58.88	Professional	26	$23.99	$39.81	$58.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $302.00	Professional		$91.20	$120.23	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $72.44	Professional	26	$28.18	$38.02	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $83.18 / $239.88	Professional	TC	$61.66	$83.18	$239.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $295.12	Professional		$120.23	$173.78	$295.12
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $38.90 / $70.79	Professional	26	$29.51	$38.90	$70.79
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $134.90 / $229.09	Professional	TC	$85.11	$134.90	$229.09
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.17 / $28.84 / $40.74	Facility	26	$6.17	$28.84	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $128.82 / $281.84	Professional		$87.10	$128.82	$281.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $33.11 / $64.57	Professional	26	$22.39	$33.11	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $100.00 / $245.47	Professional	TC	$60.26	$100.00	$245.47
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $162.18 / $218.78	Professional		$52.48	$162.18	$218.78
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $28.18 / $38.02	Professional	26	$10.47	$28.18	$38.02
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $134.90 / $181.97	Professional	TC	$41.69	$134.90	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $309.03	Professional		$117.49	$151.36	$309.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $51.29	Professional	26	$24.55	$32.36	$51.29
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $141.25 / $251.19	Professional	TC	$109.65	$141.25	$251.19
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,023.29 / $1,023.29	Professional		$851.14	$1,023.29	$1,023.29
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $676.08 / $812.83 / $812.83	Professional	TC	$676.08	$812.83	$812.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $33.11 / $120.23	Professional		$30.20	$33.11	$120.23
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Facility	26	$21.38	$21.38	$21.38
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $134.90 / $316.23	Professional		$87.10	$134.90	$316.23
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.90 / $58.88	Professional	26	$22.39	$30.90	$58.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $93.33 / $223.87	Professional	TC	$57.54	$93.33	$223.87
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $125.89 / $147.91	Professional		$77.62	$125.89	$147.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $131.83 / $338.84	Professional		$66.07	$131.83	$338.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $28.18 / $89.13	Professional	26	$20.42	$28.18	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $104.71 / $245.47	Professional	TC	$45.71	$104.71	$245.47

California rates for HCPCS 74230