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 $32.36 / $39.81 / $204.17	Facility	26	$32.36	$39.81	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $190.55 / $501.19	Professional		$117.49	$190.55	$501.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $48.98 / $169.82	Professional	26	$28.84	$48.98	$169.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $109.65 / $251.19	Professional	TC	$83.18	$109.65	$251.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $177.83 / $257.04	Professional		$109.65	$177.83	$257.04
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $44.67 / $75.86	Professional	26	$26.92	$44.67	$75.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $154.88 / $371.54	Professional		$117.49	$154.88	$371.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $93.33	Professional	26	$34.67	$46.77	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $302.00	Professional	TC	$74.13	$112.20	$302.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $181.97 / $380.19	Professional		$120.23	$181.97	$380.19
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $89.13	Professional	26	$30.90	$45.71	$89.13
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $134.90 / $288.40	Professional	TC	$89.13	$134.90	$288.40
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 $100.00 / $173.78 / $389.05	Professional		$100.00	$173.78	$389.05
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $43.65 / $81.28	Professional	26	$28.18	$43.65	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $134.90 / $331.13	Professional	TC	$69.18	$134.90	$331.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $162.18 / $218.78	Professional		$67.61	$162.18	$218.78
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $37.15 / $50.12	Professional	26	$22.39	$37.15	$50.12
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $123.03 / $165.96	Professional	TC	$45.71	$123.03	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $147.91 / $275.42	Professional		$117.49	$147.91	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $44.67 / $77.62	Professional	26	$32.36	$44.67	$77.62
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $138.04 / $239.88	Professional	TC	$97.72	$138.04	$239.88
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,174.90 / $1,174.90	Professional		$891.25	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional	26	$389.05	$389.05	$389.05
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $691.83 / $933.25 / $933.25	Professional	TC	$691.83	$933.25	$933.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $223.87	Professional		$32.36	$38.02	$223.87
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 $100.00 / $177.83 / $457.09	Professional		$100.00	$177.83	$457.09
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $79.43	Professional	26	$28.18	$41.69	$79.43
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $128.82 / $316.23	Professional	TC	$67.61	$128.82	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $173.78	Professional		$102.33	$134.90	$173.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $346.74	Professional		$97.72	$158.49	$346.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $34.67 / $79.43	Professional	26	$25.12	$34.67	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $125.89 / $269.15	Professional	TC	$67.61	$125.89	$269.15

California rates for HCPCS 76872