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 $30.90 / $40.74 / $104.71	Facility	26	$30.90	$40.74	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $616.60	Professional		$100.00	$147.91	$616.60
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $60.26 / $165.96	Professional	26	$31.62	$60.26	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $89.13 / $234.42	Professional	TC	$67.61	$89.13	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $63.10 / $147.91	Professional	26	$32.36	$63.10	$147.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $302.00	Professional		$107.15	$141.25	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $50.12 / $100.00	Professional	26	$37.15	$50.12	$100.00
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $91.20 / $204.17	Professional	TC	$69.18	$91.20	$204.17
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $165.96 / $316.23	Professional		$125.89	$165.96	$316.23
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $95.50	Professional	26	$38.02	$50.12	$95.50
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $114.82 / $218.78	Professional	TC	$87.10	$114.82	$218.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $144.54 / $275.42	Professional		$97.72	$144.54	$275.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $93.33	Professional	26	$30.90	$45.71	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $97.72 / $213.80	Professional	TC	$64.57	$97.72	$213.80
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $162.18 / $218.78	Professional		$102.33	$162.18	$218.78
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $43.65 / $58.88	Professional	26	$29.51	$43.65	$58.88
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $117.49 / $158.49	Professional	TC	$72.44	$117.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $288.40	Professional		$117.49	$151.36	$288.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $81.28	Professional	26	$38.02	$50.12	$81.28
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $123.03 / $223.87	Professional	TC	$97.72	$123.03	$223.87
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,000.00 / $1,000.00	Professional		$812.83	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $309.03 / $309.03	Professional	26	$239.88	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $707.95 / $707.95	Professional	TC	$575.44	$707.95	$707.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $45.71 / $141.25	Professional		$32.36	$45.71	$141.25
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $147.91 / $309.03	Professional		$97.72	$147.91	$309.03
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $42.66 / $81.28	Professional	26	$30.90	$42.66	$81.28
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $93.33 / $194.98	Professional	TC	$63.10	$93.33	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	26	$131.83	$131.83	$131.83
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	TC	$269.15	$269.15	$269.15
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $138.04 / $154.88	Professional		$112.20	$138.04	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $123.03 / $331.13	Professional		$79.43	$123.03	$331.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $41.69 / $123.03	Professional	26	$26.92	$41.69	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $81.28 / $190.55	Professional	TC	$52.48	$81.28	$190.55

California rates for HCPCS 74240