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 / $53.70 / $91.20	Facility	26	$30.90	$53.70	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $346.74 / $1,737.80	Professional		$275.42	$346.74	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $50.12 / $181.97	Professional	26	$30.20	$50.12	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $309.03 / $870.96	Professional	TC	$239.88	$309.03	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $389.05 / $426.58	Professional		$302.00	$389.05	$426.58
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $50.12 / $81.28	Professional	26	$20.89	$50.12	$81.28
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $549.54 / $1,122.02	Professional		$371.54	$549.54	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $52.48 / $104.71	Professional	26	$35.48	$52.48	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $501.19 / $1,000.00	Professional	TC	$331.13	$501.19	$1,000.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $524.81 / $1,258.93	Professional		$354.81	$524.81	$1,258.93
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $51.29 / $125.89	Professional	26	$34.67	$51.29	$125.89
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $478.63 / $1,122.02	Professional	TC	$316.23	$478.63	$1,122.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $436.52 / $954.99	Professional		$288.40	$436.52	$954.99
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $45.71 / $97.72	Professional	26	$31.62	$45.71	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $398.11 / $891.25	Professional	TC	$263.03	$398.11	$891.25
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $389.05 / $426.58	Professional		$288.40	$389.05	$426.58
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.90 / $42.66	Professional	26	$28.84	$38.90	$42.66
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $354.81 / $389.05	Professional	TC	$263.03	$354.81	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $380.19 / $741.31	Professional		$295.12	$380.19	$741.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $70.79	Professional	26	$33.11	$44.67	$70.79
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $371.54 / $676.08	Professional	TC	$275.42	$371.54	$676.08
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,454.71 / $2,454.71	Professional		$1,995.26	$2,454.71	$2,454.71
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $275.42 / $275.42	Professional	26	$218.78	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,778.28 / $2,187.76 / $2,187.76	Professional	TC	$1,778.28	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $257.04 / $338.84	Professional		$40.74	$257.04	$338.84
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $436.52 / $954.99	Professional		$295.12	$436.52	$954.99
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $45.71 / $97.72	Professional	26	$31.62	$45.71	$97.72
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $398.11 / $891.25	Professional	TC	$281.84	$398.11	$891.25
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional	TC	$1,000.00	$1,000.00	$1,000.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $380.19 / $489.78	Professional		$288.40	$380.19	$489.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $389.05 / $977.24	Professional		$275.42	$389.05	$977.24
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $41.69 / $102.33	Professional	26	$29.51	$41.69	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $346.74 / $870.96	Professional	TC	$245.47	$346.74	$870.96

California rates for HCPCS 78226