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 / $44.67 / $213.80	Facility	26	$34.67	$44.67	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $165.96 / $537.03	Professional		$79.43	$165.96	$537.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $64.57 / $194.98	Professional	26	$33.11	$64.57	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $64.57 / $275.42	Professional	TC	$40.74	$64.57	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $95.50 / $158.49	Professional		$74.13	$95.50	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $42.66 / $77.62	Professional	26	$30.20	$42.66	$77.62
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $117.49	Professional	TC	$33.88	$33.88	$117.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $245.47	Professional		$95.50	$131.83	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $48.98 / $95.50	Professional	26	$38.02	$48.98	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $83.18 / $147.91	Professional	TC	$56.23	$83.18	$147.91
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $281.84	Professional		$100.00	$147.91	$281.84
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $56.23 / $107.15	Professional	26	$38.90	$56.23	$107.15
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $173.78	Professional	TC	$60.26	$91.20	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $120.23 / $218.78	Professional		$75.86	$120.23	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $48.98 / $91.20	Professional	26	$32.36	$48.98	$91.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $72.44 / $134.90	Professional	TC	$42.66	$72.44	$134.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $154.88	Professional		$77.62	$114.82	$154.88
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $42.66 / $57.54	Professional	26	$32.36	$42.66	$57.54
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $70.79 / $95.50	Professional	TC	$44.67	$70.79	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $218.78	Professional		$85.11	$107.15	$218.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $89.13	Professional	26	$37.15	$51.29	$89.13
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $138.04	Professional	TC	$56.23	$79.43	$138.04
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $588.84 / $707.95	Professional		$120.23	$588.84	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $281.84 / $288.40 / $288.40	Professional	26	$281.84	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $426.58 / $426.58	Professional	TC	$371.54	$426.58	$426.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $125.89	Professional		$32.36	$50.12	$125.89
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 $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $125.89 / $223.87	Professional		$77.62	$125.89	$223.87
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $45.71 / $89.13	Professional	26	$32.36	$45.71	$89.13
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $70.79 / $128.82	Professional	TC	$42.66	$70.79	$128.82
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 $125.89 / $125.89 / $125.89	Professional	26	$125.89	$125.89	$125.89
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $131.83	Professional		$77.62	$104.71	$131.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $199.53	Professional		$67.61	$91.20	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $40.74 / $114.82	Professional	26	$27.54	$40.74	$114.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $51.29 / $117.49	Professional	TC	$38.90	$51.29	$117.49

California rates for HCPCS 76819