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 $34.67 / $43.65 / $97.72	Facility	26	$34.67	$43.65	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $169.82 / $501.19	Professional		$89.13	$169.82	$501.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $66.07 / $177.83	Professional	26	$33.11	$66.07	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $81.28 / $281.84	Professional	TC	$50.12	$81.28	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $223.87	Professional		$75.86	$114.82	$223.87
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $79.43	Professional	26	$30.90	$43.65	$79.43
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $87.10	Professional	TC	$74.13	$74.13	$87.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $275.42	Professional		$104.71	$141.25	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $102.33	Professional	26	$39.81	$53.70	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $85.11 / $169.82	Professional	TC	$64.57	$85.11	$169.82
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $275.42	Professional		$93.33	$141.25	$275.42
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $53.70 / $102.33	Professional	26	$37.15	$53.70	$102.33
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $85.11 / $173.78	Professional	TC	$56.23	$85.11	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $40.74 / $57.54	Facility	26	$8.71	$40.74	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $128.82 / $239.88	Professional		$83.18	$128.82	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $91.20	Professional	26	$31.62	$46.77	$91.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $81.28 / $158.49	Professional	TC	$51.29	$81.28	$158.49
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $165.96	Professional		$81.28	$120.23	$165.96
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $54.95	Professional	26	$30.20	$40.74	$54.95
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $81.28 / $109.65	Professional	TC	$51.29	$81.28	$109.65
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	26	$173.78	$173.78	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $114.82 / $234.42	Professional		$89.13	$114.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $48.98 / $85.11	Professional	26	$36.31	$48.98	$85.11
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $91.20 / $154.88	Professional	TC	$63.10	$91.20	$154.88
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $602.56 / $758.58	Professional		$123.03	$602.56	$758.58
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $281.84 / $281.84	Professional	26	$239.88	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $478.63 / $478.63	Professional	TC	$371.54	$478.63	$478.63
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $46.77 / $114.82	Professional		$32.36	$46.77	$114.82
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 $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $251.19	Professional		$85.11	$131.83	$251.19
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $44.67 / $85.11	Professional	26	$31.62	$44.67	$85.11
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $79.43 / $154.88	Professional	TC	$51.29	$79.43	$154.88
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional	TC	$194.98	$194.98	$194.98
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $112.20 / $141.25	Professional		$81.28	$112.20	$141.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $269.15	Professional		$75.86	$100.00	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.90 / $117.49	Professional	26	$26.92	$38.90	$117.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $64.57 / $169.82	Professional	TC	$46.77	$64.57	$169.82

California rates for HCPCS 76817