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 $30.90 / $39.81 / $89.13	Facility	26	$30.90	$39.81	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $169.82 / $630.96	Professional		$91.20	$169.82	$630.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $53.70 / $144.54	Professional	26	$29.51	$53.70	$144.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $107.15 / $426.58	Professional	TC	$64.57	$107.15	$426.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $109.65 / $204.17	Professional		$83.18	$109.65	$204.17
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $42.66 / $75.86	Professional	26	$28.84	$42.66	$75.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $100.00 / $131.83	Professional	TC	$39.81	$100.00	$131.83
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $309.03	Professional		$112.20	$147.91	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $48.98 / $91.20	Professional	26	$33.88	$48.98	$91.20
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $97.72 / $218.78	Professional	TC	$75.86	$97.72	$218.78
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $147.91 / $302.00	Professional		$97.72	$147.91	$302.00
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $42.66 / $87.10	Professional	26	$28.18	$42.66	$87.10
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $104.71 / $223.87	Professional	TC	$69.18	$104.71	$223.87
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 $93.33 / $144.54 / $269.15	Professional		$93.33	$144.54	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $43.65 / $79.43	Professional	26	$27.54	$43.65	$79.43
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $102.33 / $194.98	Professional	TC	$63.10	$102.33	$194.98
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $141.25 / $190.55	Professional		$67.61	$141.25	$190.55
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $37.15 / $50.12	Professional	26	$20.42	$37.15	$50.12
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $102.33 / $138.04	Professional	TC	$47.86	$102.33	$138.04
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $128.82 / $245.47	Professional		$102.33	$128.82	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $77.62	Professional	26	$33.11	$44.67	$77.62
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $194.98	Professional	TC	$81.28	$114.82	$194.98
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility	26	$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $691.83 / $870.96	Professional		$141.25	$691.83	$870.96
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	26	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $616.60 / $616.60	Professional	TC	$478.63	$616.60	$616.60
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.90 / $120.23	Professional		$32.36	$38.90	$120.23
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 $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $151.36 / $281.84	Professional		$95.50	$151.36	$281.84
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $40.74 / $72.44	Professional	26	$27.54	$40.74	$72.44
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $100.00 / $186.21	Professional	TC	$63.10	$100.00	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	26	$112.20	$112.20	$112.20
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional	TC	$257.04	$257.04	$257.04
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $128.82 / $165.96	Professional		$102.33	$128.82	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $114.82 / $316.23	Professional		$85.11	$114.82	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $36.31 / $102.33	Professional	26	$24.55	$36.31	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $83.18 / $218.78	Professional	TC	$60.26	$83.18	$218.78

California rates for HCPCS 76856