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 $120.23 / $446.68 / $870.96	Facility		$120.23	$446.68	$870.96
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $40.74 / $85.11	Facility	26	$30.90	$40.74	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $117.49 / $446.68	Professional		$58.88	$117.49	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $63.10 / $169.82	Professional	26	$30.20	$63.10	$169.82
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $218.78 / $660.69	Professional	50	$74.13	$218.78	$660.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $69.18 / $309.03	Professional	TC	$45.71	$69.18	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $194.98	Professional		$69.18	$89.13	$194.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $47.86 / $75.86	Professional	26	$27.54	$47.86	$75.86
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $112.20 / $134.90 / $354.81	Professional	50	$112.20	$134.90	$354.81
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $95.50 / $120.23	Professional	TC	$45.71	$95.50	$120.23
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $44.67 / $446.68	Facility		$40.74	$44.67	$446.68
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $275.42	Professional		$109.65	$158.49	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $56.23 / $97.72	Professional	26	$38.90	$56.23	$97.72
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $114.82 / $138.04 / $331.13	Professional	50	$114.82	$138.04	$331.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $100.00 / $173.78	Professional	TC	$70.79	$100.00	$173.78
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $309.03 / $630.96	Facility		$83.18	$309.03	$630.96
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $269.15	Professional		$93.33	$138.04	$269.15
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $51.29 / $97.72	Professional	26	$35.48	$51.29	$97.72
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $89.13 / $169.82	Professional	TC	$58.88	$89.13	$169.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $263.03 / $524.81	Facility		$114.82	$263.03	$524.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $117.49 / $208.93	Professional		$74.13	$117.49	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $43.65 / $81.28	Professional	26	$28.18	$43.65	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $74.13 / $141.25	Professional	TC	$46.77	$74.13	$141.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $109.65 / $147.91	Professional		$77.62	$109.65	$147.91
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $36.31 / $48.98	Professional	26	$28.84	$36.31	$48.98
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $72.44 / $97.72	Professional	TC	$48.98	$72.44	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $102.33 / $208.93	Professional		$81.28	$102.33	$208.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $72.44	Professional	26	$31.62	$43.65	$72.44
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $81.28 / $141.25	Professional	TC	$57.54	$81.28	$141.25
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $707.95 / $707.95	Professional		$144.54	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $263.03 / $263.03	Professional	26	$204.17	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $446.68 / $446.68	Professional	TC	$338.84	$446.68	$446.68
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.90 / $97.72	Professional		$32.36	$38.90	$97.72
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $218.78	Facility		$74.13	$114.82	$218.78
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 $75.86 / $120.23 / $229.09	Professional		$75.86	$120.23	$229.09
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $77.62	Professional	26	$28.18	$41.69	$77.62
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $70.79 / $134.90	Professional	TC	$46.77	$70.79	$134.90
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $134.90	Professional		$77.62	$102.33	$134.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $169.82 / $218.78	Facility		$114.82	$169.82	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $223.87	Professional		$69.18	$89.13	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $100.00	Professional	26	$26.92	$36.31	$100.00
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $123.03 / $125.89	Professional	50	$123.03	$123.03	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $54.95 / $141.25	Professional	TC	$42.66	$54.95	$141.25

California rates for HCPCS 76642