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 / $38.02 / $81.28	Facility	26	$28.84	$38.02	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $154.88 / $602.56	Professional		$87.10	$154.88	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $53.70 / $151.36	Professional	26	$28.18	$53.70	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $100.00 / $363.08	Professional	TC	$57.54	$100.00	$363.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $112.20 / $181.97	Professional		$66.07	$112.20	$181.97
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $43.65 / $67.61	Professional	26	$26.30	$43.65	$67.61
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $107.15 / $158.49	Professional	TC	$61.66	$107.15	$158.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $138.04 / $288.40	Professional		$104.71	$138.04	$288.40
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $83.18	Professional	26	$30.90	$43.65	$83.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $93.33 / $208.93	Professional	TC	$70.79	$93.33	$208.93
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $309.03	Professional		$102.33	$154.88	$309.03
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $40.74 / $79.43	Professional	26	$27.54	$40.74	$79.43
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $114.82 / $229.09	Professional	TC	$75.86	$114.82	$229.09
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $34.67 / $48.98	Facility	26	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $131.83 / $239.88	Professional		$77.62	$131.83	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $39.81 / $72.44	Professional	26	$25.70	$39.81	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $93.33 / $169.82	Professional	TC	$47.86	$93.33	$169.82
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $131.83 / $177.83	Professional		$60.26	$131.83	$177.83
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.88 / $45.71	Professional	26	$26.92	$33.88	$45.71
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $97.72 / $131.83	Professional	TC	$33.11	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $123.03 / $229.09	Professional		$95.50	$123.03	$229.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $70.79	Professional	26	$30.20	$40.74	$70.79
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $109.65 / $186.21	Professional	TC	$75.86	$109.65	$186.21
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 $660.69 / $831.76 / $831.76	Professional		$660.69	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $239.88 / $239.88	Professional	26	$229.09	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $588.84 / $588.84	Professional	TC	$457.09	$588.84	$588.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $36.31 / $114.82	Professional		$32.36	$36.31	$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 $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $263.03	Professional		$81.28	$138.04	$263.03
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $38.02 / $67.61	Professional	26	$25.70	$38.02	$67.61
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $89.13 / $162.18	Professional	TC	$47.86	$89.13	$162.18
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	TC	$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $158.49	Professional		$89.13	$123.03	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $107.15 / $269.15	Professional		$75.86	$107.15	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.11 / $95.50	Professional	26	$22.91	$33.11	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $74.13 / $190.55	Professional	TC	$51.29	$74.13	$190.55

California rates for HCPCS 76870