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 $7.94 / $13.80 / $54.95	Facility	26	$7.94	$13.80	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $37.15 / $162.18	Professional		$25.12	$37.15	$162.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.96 / $38.02	Professional	26	$7.94	$10.96	$38.02
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $21.88 / $63.10	Professional	TC	$16.60	$21.88	$63.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $30.90 / $69.18	Professional		$23.44	$30.90	$69.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $7.08 / $21.88	Professional	26	$7.08	$7.08	$21.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $53.70 / $109.65	Professional		$30.90	$53.70	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $16.22 / $28.18	Professional	26	$11.48	$16.22	$28.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $37.15 / $79.43	Professional	TC	$19.50	$37.15	$79.43
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $81.28	Professional		$31.62	$42.66	$81.28
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $14.79 / $25.70	Professional	26	$11.22	$14.79	$25.70
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $27.54 / $54.95	Professional	TC	$19.50	$27.54	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $41.69 / $77.62	Professional		$25.70	$41.69	$77.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.88 / $25.12	Professional	26	$8.51	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $28.84 / $54.95	Professional	TC	$17.38	$28.84	$54.95
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $41.69 / $56.23	Professional		$25.12	$41.69	$56.23
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $10.72 / $14.45	Professional	26	$9.33	$10.72	$14.45
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $30.90 / $41.69	Professional	TC	$15.85	$30.90	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $79.43	Professional		$30.90	$38.90	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.30 / $20.42	Professional	26	$9.33	$12.30	$20.42
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.11 / $58.88	Professional	TC	$25.70	$33.11	$58.88
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $269.15 / $269.15	Professional		$199.53	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional	26	$234.42	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $194.98 / $194.98	Professional	TC	$144.54	$194.98	$194.98
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $32.36 / $35.48	Professional		$11.48	$32.36	$35.48
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $43.65 / $79.43	Professional		$25.70	$43.65	$79.43
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.30 / $23.44	Professional	26	$8.51	$12.30	$23.44
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $28.18 / $52.48	Professional	TC	$16.98	$28.18	$52.48
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $35.48 / $44.67	Professional		$25.12	$35.48	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $33.88 / $100.00	Professional		$20.89	$33.88	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $41.69	Professional	26	$7.41	$10.96	$41.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $22.39 / $54.95	Professional	TC	$13.18	$22.39	$54.95

California rates for HCPCS 77081