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 $107.15 / $302.00 / $707.95	Facility	26	$107.15	$302.00	$707.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $1,318.26	Professional		$204.17	$309.03	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $128.82 / $446.68	Professional	26	$87.10	$128.82	$446.68
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $173.78 / $478.63	Professional	TC	$100.00	$173.78	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $257.04	Professional	26	$87.10	$87.10	$257.04
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $467.74 / $1,122.02	Professional		$309.03	$467.74	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $158.49 / $323.59	Professional	26	$112.20	$158.49	$323.59
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $316.23 / $851.14	Professional	TC	$194.98	$316.23	$851.14
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $398.11 / $776.25	Professional		$275.42	$398.11	$776.25
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $194.98 / $354.81	Professional	26	$138.04	$194.98	$354.81
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $204.17 / $398.11	Professional	TC	$134.90	$204.17	$398.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $128.82 / $186.21	Facility	26	$27.54	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $524.81 / $1,148.15	Professional		$275.42	$524.81	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $131.83 / $275.42	Professional	26	$66.07	$131.83	$275.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $398.11 / $891.25	Professional	TC	$208.93	$398.11	$891.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $416.87	Professional		$275.42	$371.54	$416.87
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $125.89 / $169.82	Professional	26	$83.18	$125.89	$169.82
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $204.17 / $331.13	Professional	TC	$151.36	$204.17	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $501.19 / $977.24	Professional		$398.11	$501.19	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $144.54 / $239.88	Professional	26	$109.65	$144.54	$239.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $436.52 / $794.33	Professional	TC	$346.74	$436.52	$794.33
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $1,862.09 / $1,995.26	Professional		$1,862.09	$1,862.09	$1,995.26
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $724.44 / $912.01 / $912.01	Professional	26	$724.44	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,479.11	Professional	TC	$1,348.96	$1,348.96	$1,479.11
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $134.90 / $489.78	Professional		$32.36	$134.90	$489.78
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $549.54 / $1,122.02	Professional		$263.03	$549.54	$1,122.02
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $117.49 / $229.09	Professional	26	$63.10	$117.49	$229.09
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $363.08 / $758.58	Professional	TC	$194.98	$363.08	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional	26	$389.05	$389.05	$389.05
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,202.26 / $1,202.26 / $1,202.26	Professional	TC	$1,202.26	$1,202.26	$1,202.26
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $416.87 / $707.95	Professional		$223.87	$416.87	$707.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $467.74 / $1,071.52	Professional		$323.59	$467.74	$1,071.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $123.03 / $380.19	Professional	26	$87.10	$123.03	$380.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $354.81 / $794.33	Professional	TC	$234.42	$354.81	$794.33

California rates for HCPCS 74261