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 Typical Low / Median / Typical High $177.83 / $724.44 / $1,513.56	Facility		$177.83	$724.44	$1,513.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.14 / $28.84 / $97.72	Facility	26	$15.14	$28.84	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $478.63	Professional		$81.28	$138.04	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $27.54 / $83.18	Professional	26	$12.88	$27.54	$83.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $85.11 / $239.88	Professional	TC	$66.07	$85.11	$239.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $37.15 / $69.18	Professional	26	$26.30	$37.15	$69.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $20.89 / $562.34	Facility		$19.05	$20.89	$562.34
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $295.12	Professional		$91.20	$123.03	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $28.84 / $89.13	Professional	26	$17.78	$28.84	$89.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $100.00 / $245.47	Professional	TC	$74.13	$100.00	$245.47
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $398.11 / $758.58	Facility		$85.11	$398.11	$758.58
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $257.04	Professional		$91.20	$128.82	$257.04
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $25.12 / $43.65	Professional	26	$18.20	$25.12	$43.65
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $104.71 / $213.80	Professional	TC	$74.13	$104.71	$213.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $549.54 / $1,479.11	Facility		$208.93	$549.54	$1,479.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	26	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $117.49 / $229.09	Professional		$75.86	$117.49	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $20.42 / $39.81	Professional	26	$13.49	$20.42	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $95.50 / $199.53	Professional	TC	$61.66	$95.50	$199.53
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $144.54 / $194.98	Professional		$60.26	$144.54	$194.98
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $18.20 / $24.55	Professional	26	$11.48	$18.20	$24.55
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $125.89 / $169.82	Professional	TC	$48.98	$125.89	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $131.83 / $269.15	Professional		$102.33	$131.83	$269.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $20.89 / $33.88	Professional	26	$15.85	$20.89	$33.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $131.83 / $239.88	Professional	TC	$102.33	$131.83	$239.88
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $851.14 / $851.14	Professional		$691.83	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $724.44 / $724.44	Professional	TC	$588.84	$724.44	$724.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $33.11 / $117.49	Professional		$18.20	$33.11	$117.49
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $251.19	Facility		$89.13	$131.83	$251.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $251.19	Professional		$79.43	$120.23	$251.19
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $19.50 / $35.48	Professional	26	$13.49	$19.50	$35.48
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $91.20 / $181.97	Professional	TC	$61.66	$91.20	$181.97
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 $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	TC	$275.42	$275.42	$275.42
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $154.88	Professional		$91.20	$123.03	$154.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $457.09 / $602.56	Facility		$120.23	$457.09	$602.56
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $100.00 / $281.84	Professional		$66.07	$100.00	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.38 / $54.95	Professional	26	$12.59	$17.38	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $83.18 / $194.98	Professional	TC	$54.95	$83.18	$194.98

California rates for HCPCS 74455