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 $28.84 / $37.15 / $501.19	Facility	26	$28.84	$37.15	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $154.88 / $467.74	Professional		$83.18	$154.88	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $57.54 / $144.54	Professional	26	$28.84	$57.54	$144.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $75.86 / $302.00	Professional	TC	$44.67	$75.86	$302.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $93.33 / $190.55	Professional		$67.61	$93.33	$190.55
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $36.31 / $69.18	Professional	26	$25.12	$36.31	$69.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $66.07	Professional	TC	$33.88	$33.88	$66.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $239.88	Professional		$91.20	$123.03	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $45.71 / $85.11	Professional	26	$33.88	$45.71	$85.11
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $77.62 / $151.36	Professional	TC	$58.88	$77.62	$151.36
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $245.47	Professional		$85.11	$128.82	$245.47
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $46.77 / $89.13	Professional	26	$32.36	$46.77	$89.13
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $81.28 / $162.18	Professional	TC	$53.70	$81.28	$162.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $35.48 / $50.12	Facility	26	$7.59	$35.48	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $213.80	Professional		$74.13	$114.82	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $40.74 / $77.62	Professional	26	$26.92	$40.74	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $74.13 / $138.04	Professional	TC	$45.71	$74.13	$138.04
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $107.15 / $144.54	Professional		$63.10	$107.15	$144.54
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $35.48 / $47.86	Professional	26	$23.44	$35.48	$47.86
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $70.79 / $95.50	Professional	TC	$39.81	$70.79	$95.50
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $100.00 / $204.17	Professional		$79.43	$100.00	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $74.13	Professional	26	$31.62	$42.66	$74.13
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 26 Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $524.81 / $676.08	Professional		$107.15	$524.81	$676.08
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $245.47 / $245.47	Professional	26	$199.53	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $426.58 / $426.58	Professional	TC	$331.13	$426.58	$426.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $42.66 / $107.15	Professional		$32.36	$42.66	$107.15
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 $74.13 / $120.23 / $218.78	Professional		$74.13	$120.23	$218.78
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.90 / $75.86	Professional	26	$26.92	$38.90	$75.86
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $70.79 / $138.04	Professional	TC	$45.71	$70.79	$138.04
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $154.88	Professional		$87.10	$117.49	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $91.20 / $218.78	Professional		$66.07	$91.20	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.88 / $97.72	Professional	26	$22.91	$33.88	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $53.70 / $125.89	Professional	TC	$42.66	$53.70	$125.89

California rates for HCPCS 76815