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 $147.91 / $354.81 / $741.31	Facility		$147.91	$354.81	$741.31
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $47.86 / $87.10 / $194.98	Facility	26	$47.86	$87.10	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $91.20 / $204.17	Professional		$54.95	$91.20	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $56.23 / $186.21	Professional	26	$28.18	$56.23	$186.21
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $165.96 / $380.19	Professional	50	$83.18	$165.96	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $37.15 / $100.00	Professional	TC	$15.14	$37.15	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $46.77 / $83.18	Professional		$38.90	$46.77	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $70.79 / $162.18	Professional	50	$48.98	$70.79	$162.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $48.98 / $257.04	Facility		$43.65	$48.98	$257.04
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $208.93	Professional		$83.18	$125.89	$208.93
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $57.54 / $104.71	Professional	26	$40.74	$57.54	$104.71
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $102.33 / $288.40	Professional	50	$75.86	$102.33	$288.40
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $64.57 / $107.15	Professional	TC	$33.88	$64.57	$107.15
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $199.53 / $363.08	Facility		$75.86	$199.53	$363.08
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $120.23 / $218.78	Professional		$83.18	$120.23	$218.78
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $66.07 / $123.03	Professional	26	$45.71	$66.07	$123.03
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $53.70 / $97.72	Professional	TC	$36.31	$53.70	$97.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $239.88 / $691.83	Facility		$42.66	$239.88	$691.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $33.88 / $48.98	Facility	26	$7.24	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $104.71 / $190.55	Professional		$47.86	$104.71	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $54.95 / $97.72	Professional	26	$28.84	$54.95	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $50.12 / $104.71	Professional	TC	$19.05	$50.12	$104.71
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $61.66 / $83.18	Professional		$42.66	$61.66	$83.18
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $37.15 / $50.12	Professional	26	$23.99	$37.15	$50.12
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.70 / $34.67	Professional	TC	$19.05	$25.70	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $58.88 / $104.71	Professional		$46.77	$58.88	$104.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $75.86	Professional	26	$31.62	$43.65	$75.86
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $48.98	Professional	TC	$20.42	$28.84	$48.98
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $676.08 / $691.83	Professional		$676.08	$676.08	$691.83
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	26	$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $36.31 / $87.10	Professional		$32.36	$36.31	$87.10
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $93.33 / $208.93	Facility		$46.77	$93.33	$208.93
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $102.33 / $181.97	Professional		$47.86	$102.33	$181.97
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $53.70 / $93.33	Professional	26	$28.18	$53.70	$93.33
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $50.12 / $104.71	Professional	TC	$18.62	$50.12	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $69.18 / $162.18	Professional		$51.29	$69.18	$162.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $204.17 / $263.03	Facility		$67.61	$204.17	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $75.86 / $151.36	Professional		$47.86	$75.86	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.90 / $79.43	Professional	26	$28.84	$38.90	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $30.90 / $67.61	Professional	TC	$18.62	$30.90	$67.61

California rates for HCPCS 76512