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 $28.18 / $53.70 / $194.98	Facility	26	$28.18	$53.70	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $194.98	Professional		$58.88	$81.28	$194.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $33.11 / $85.11	Professional	26	$25.12	$33.11	$85.11
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $223.87 / $489.78	Professional	50	$66.07	$223.87	$489.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $48.98 / $117.49	Professional	TC	$30.20	$48.98	$117.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $63.10 / $154.88	Professional		$46.77	$63.10	$154.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $190.55	Professional		$77.62	$104.71	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $39.81 / $81.28	Professional	26	$30.20	$39.81	$81.28
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $97.72 / $123.03 / $263.03	Professional	50	$97.72	$123.03	$263.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $64.57 / $109.65	Professional	TC	$46.77	$64.57	$109.65
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $199.53	Professional		$67.61	$102.33	$199.53
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.90 / $79.43	Professional	26	$26.30	$38.90	$79.43
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $61.66 / $123.03	Professional	TC	$40.74	$61.66	$123.03
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 $61.66 / $100.00 / $173.78	Professional		$61.66	$100.00	$173.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.02 / $74.13	Professional	26	$26.30	$38.02	$74.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $63.10 / $109.65	Professional	TC	$34.67	$63.10	$109.65
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $91.20 / $123.03	Professional		$54.95	$91.20	$123.03
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $36.31 / $48.98	Professional	26	$19.95	$36.31	$48.98
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $54.95 / $74.13	Professional	TC	$35.48	$54.95	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $85.11 / $158.49	Professional		$67.61	$85.11	$158.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $74.13	Professional	26	$31.62	$43.65	$74.13
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $61.66 / $104.71	Professional	TC	$42.66	$61.66	$104.71
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	26	$190.55	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $562.34 / $562.34	Professional		$501.19	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	TC	$331.13	$331.13	$331.13
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $75.86	Professional		$32.36	$34.67	$75.86
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 $25.70 / $25.70 / $25.70	Facility	26	$25.70	$25.70	$25.70
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $104.71 / $177.83	Professional		$61.66	$104.71	$177.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $36.31 / $70.79	Professional	26	$26.30	$36.31	$70.79
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $61.66 / $112.20	Professional	TC	$33.88	$61.66	$112.20
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	TC	$120.23	$120.23	$120.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $134.90	Professional		$74.13	$102.33	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $75.86 / $158.49	Professional		$54.95	$75.86	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $31.62 / $70.79	Professional	26	$21.38	$31.62	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $42.66 / $93.33	Professional	TC	$32.36	$42.66	$93.33

California rates for HCPCS 76519