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 / $61.66 / $208.93	Facility	26	$30.90	$61.66	$208.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $93.33 / $295.12	Professional		$64.57	$93.33	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $34.67 / $134.90	Professional	26	$26.30	$34.67	$134.90
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $295.12 / $977.24	Professional	50	$173.78	$295.12	$977.24
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $56.23 / $162.18	Professional	TC	$34.67	$56.23	$162.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $125.89 / $245.47	Professional		$89.13	$125.89	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $91.20	Professional	26	$35.48	$46.77	$91.20
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $109.65 / $128.82 / $331.13	Professional	50	$109.65	$128.82	$331.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $77.62 / $162.18	Professional	TC	$53.70	$77.62	$162.18
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $229.09	Professional		$77.62	$117.49	$229.09
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $87.10	Professional	26	$30.90	$45.71	$87.10
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $70.79 / $141.25	Professional	TC	$45.71	$70.79	$141.25
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $36.31 / $51.29	Facility	26	$7.76	$36.31	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $120.23 / $218.78	Professional		$74.13	$120.23	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $43.65 / $83.18	Professional	26	$30.20	$43.65	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $75.86 / $141.25	Professional	TC	$46.77	$75.86	$141.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $100.00 / $134.90	Professional		$66.07	$100.00	$134.90
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $38.90 / $52.48	Professional	26	$23.99	$38.90	$52.48
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $61.66 / $83.18	Professional	TC	$42.66	$61.66	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $93.33 / $190.55	Professional		$74.13	$93.33	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $46.77 / $81.28	Professional	26	$33.88	$46.77	$81.28
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $69.18 / $117.49	Professional	TC	$47.86	$69.18	$117.49
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 $602.56 / $616.60 / $616.60	Professional		$602.56	$616.60	$616.60
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 $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
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 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $125.89 / $218.78	Professional		$77.62	$125.89	$218.78
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $41.69 / $81.28	Professional	26	$30.20	$41.69	$81.28
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $74.13 / $147.91	Professional	TC	$46.77	$74.13	$147.91
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional	TC	$213.80	$213.80	$213.80
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $112.20 / $162.18	Professional		$83.18	$112.20	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $102.33 / $208.93	Professional		$63.10	$102.33	$208.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $37.15 / $77.62	Professional	26	$24.55	$37.15	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $64.57 / $131.83	Professional	TC	$37.15	$64.57	$131.83

California rates for HCPCS 76513