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 $38.02 / $51.29 / $112.20	Facility	26	$38.02	$51.29	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $190.55 / $602.56	Professional		$100.00	$190.55	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $74.13 / $229.09	Professional	26	$37.15	$74.13	$229.09
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $89.13 / $354.81	Professional	TC	$56.23	$89.13	$354.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $123.03 / $263.03	Professional		$95.50	$123.03	$263.03
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $67.61 / $109.65	Professional	26	$33.88	$67.61	$109.65
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $104.71 / $162.18	Professional	TC	$46.77	$104.71	$162.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $125.89 / $288.40	Professional		$91.20	$125.89	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $51.29 / $114.82	Professional	26	$36.31	$51.29	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $77.62 / $177.83	Professional	TC	$53.70	$77.62	$177.83
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $275.42	Professional		$87.10	$131.83	$275.42
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $48.98 / $100.00	Professional	26	$32.36	$48.98	$100.00
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $81.28 / $173.78	Professional	TC	$54.95	$81.28	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $45.71 / $66.07	Facility	26	$9.77	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $144.54 / $269.15	Professional		$93.33	$144.54	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $53.70 / $102.33	Professional	26	$35.48	$53.70	$102.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $91.20 / $186.21	Professional	TC	$53.70	$91.20	$186.21
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $147.91 / $199.53	Professional		$51.29	$147.91	$199.53
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $47.86 / $64.57	Professional	26	$18.62	$47.86	$64.57
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $100.00 / $134.90	Professional	TC	$33.11	$100.00	$134.90
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $138.04 / $257.04	Professional		$107.15	$138.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $56.23 / $100.00	Professional	26	$41.69	$56.23	$100.00
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $112.20 / $190.55	Professional	TC	$77.62	$112.20	$190.55
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $707.95 / $912.01	Professional		$141.25	$707.95	$912.01
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $257.04 / $323.59 / $323.59	Professional	26	$257.04	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $575.44 / $575.44	Professional	TC	$446.68	$575.44	$575.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $47.86 / $123.03	Professional		$32.36	$47.86	$123.03
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 $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $147.91 / $295.12	Professional		$95.50	$147.91	$295.12
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $50.12 / $100.00	Professional	26	$35.48	$50.12	$100.00
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $83.18 / $181.97	Professional	TC	$53.70	$83.18	$181.97
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	TC	$239.88	$239.88	$239.88
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $120.23 / $134.90	Professional		$77.62	$120.23	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $295.12	Professional		$77.62	$117.49	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $44.67 / $123.03	Professional	26	$30.20	$44.67	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $74.13 / $199.53	Professional	TC	$47.86	$74.13	$199.53

California rates for HCPCS 76816