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 $144.54 / $537.03 / $1,096.48	Facility		$144.54	$537.03	$1,096.48
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $32.36 / $72.44	Facility	26	$25.12	$32.36	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $169.82 / $575.44	Professional		$102.33	$169.82	$575.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $45.71 / $125.89	Professional	26	$24.55	$45.71	$125.89
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $107.15 / $239.88	Professional	52	$28.18	$107.15	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $114.82 / $426.58	Professional	TC	$74.13	$114.82	$426.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $109.65 / $223.87	Professional		$91.20	$109.65	$223.87
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $43.65 / $74.13	Professional	26	$22.39	$43.65	$74.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $114.82 / $181.97	Professional	TC	$54.95	$114.82	$181.97
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $30.20 / $575.44	Facility		$27.54	$30.20	$575.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $134.90 / $309.03	Professional		$104.71	$134.90	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $39.81 / $72.44	Professional	26	$28.18	$39.81	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $97.72 / $223.87	Professional	TC	$70.79	$97.72	$223.87
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $316.23 / $616.60	Facility		$85.11	$316.23	$616.60
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $144.54 / $302.00	Professional		$97.72	$144.54	$302.00
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $35.48 / $69.18	Professional	26	$23.99	$35.48	$69.18
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $109.65 / $234.42	Professional	TC	$72.44	$109.65	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $338.84 / $691.83	Facility		$169.82	$338.84	$691.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $144.54 / $275.42	Professional		$93.33	$144.54	$275.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $35.48 / $67.61	Professional	26	$23.44	$35.48	$67.61
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $109.65 / $229.09	Professional	TC	$66.07	$109.65	$229.09
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 $13.80 / $30.20 / $40.74	Professional	26	$13.80	$30.20	$40.74
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $114.82 / $154.88	Professional	TC	$45.71	$114.82	$154.88
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $134.90 / $229.09	Professional		$104.71	$134.90	$229.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $63.10	Professional	26	$26.92	$36.31	$63.10
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $128.82 / $223.87	Professional	TC	$89.13	$128.82	$223.87
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	26	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $912.01 / $912.01	Professional		$177.83	$912.01	$912.01
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	26	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $707.95 / $707.95	Professional	TC	$549.54	$707.95	$707.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
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 $97.72 / $147.91 / $263.03	Facility		$97.72	$147.91	$263.03
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $151.36 / $295.12	Professional		$93.33	$151.36	$295.12
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $33.11 / $63.10	Professional	26	$23.44	$33.11	$63.10
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $102.33 / $218.78	Professional	TC	$66.07	$102.33	$218.78
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $154.88	Professional		$89.13	$123.03	$154.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $204.17 / $263.03	Facility		$147.91	$204.17	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $302.00	Professional		$77.62	$117.49	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $28.84 / $93.33	Professional	26	$19.95	$28.84	$93.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $89.13 / $239.88	Professional	TC	$57.54	$89.13	$239.88

California rates for HCPCS 76536