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 $23.99 / $43.65 / $77.62	Facility	26	$23.99	$43.65	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $102.33 / $426.58	Professional		$53.70	$102.33	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $44.67 / $125.89	Professional	26	$23.44	$44.67	$125.89
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $89.13 / $426.58	Professional	52	$38.02	$89.13	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $63.10 / $194.98	Professional	TC	$25.70	$63.10	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $100.00 / $331.13	Professional		$32.36	$100.00	$331.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $44.67 / $66.07	Professional	26	$22.91	$44.67	$66.07
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.49 / $70.79 / $117.49	Professional	52	$13.49	$70.79	$117.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.39 / $47.86	Professional	TC	$22.39	$22.39	$47.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $223.87	Professional		$81.28	$114.82	$223.87
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $39.81 / $74.13	Professional	26	$28.18	$39.81	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $75.86 / $144.54	Professional	TC	$54.95	$75.86	$144.54
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $229.09	Professional		$79.43	$120.23	$229.09
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $40.74 / $77.62	Professional	26	$28.18	$40.74	$77.62
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $77.62 / $151.36	Professional	TC	$51.29	$77.62	$151.36
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $186.21	Professional		$60.26	$100.00	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $34.67 / $66.07	Professional	26	$22.91	$34.67	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $66.07 / $123.03	Professional	TC	$35.48	$66.07	$123.03
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $77.62 / $104.71	Professional		$53.70	$77.62	$104.71
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $31.62 / $42.66	Professional	26	$15.49	$31.62	$42.66
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $46.77 / $63.10	Professional	TC	$38.02	$46.77	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $74.13 / $144.54	Professional		$58.88	$74.13	$144.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $66.07	Professional	26	$28.18	$38.02	$66.07
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $52.48 / $89.13	Professional	TC	$37.15	$52.48	$89.13
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $478.63 / $478.63	Professional		$467.74	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	26	$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional	TC	$407.38	$407.38	$407.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
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 $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $104.71 / $177.83	Professional		$63.10	$104.71	$177.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.11 / $58.88	Professional	26	$22.91	$33.11	$58.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $63.10 / $123.03	Professional	TC	$33.11	$63.10	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional	TC	$169.82	$169.82	$169.82
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $72.44 / $91.20	Professional		$53.70	$72.44	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $190.55	Professional		$63.10	$85.11	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $29.51 / $93.33	Professional	26	$20.42	$29.51	$93.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $51.29 / $109.65	Professional	TC	$38.02	$51.29	$109.65

California rates for HCPCS 76604