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 $37.15 / $50.12 / $177.83	Facility	26	$37.15	$50.12	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $489.78 / $2,137.96	Professional		$380.19	$489.78	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $64.57 / $223.87	Professional	26	$36.31	$64.57	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $426.58 / $1,148.15	Professional	TC	$323.59	$426.58	$1,148.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $39.81 / $66.07	Professional	26	$25.12	$39.81	$66.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $575.44 / $1,348.96	Professional		$398.11	$575.44	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $63.10 / $125.89	Professional	26	$42.66	$63.10	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $512.86 / $1,230.27	Professional	TC	$346.74	$512.86	$1,230.27
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $724.44 / $1,698.24	Professional		$478.63	$724.44	$1,698.24
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $61.66 / $151.36	Professional	26	$41.69	$61.66	$151.36
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $660.69 / $1,548.82	Professional	TC	$436.52	$660.69	$1,548.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $588.84 / $1,288.25	Professional		$389.05	$588.84	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $54.95 / $120.23	Professional	26	$38.02	$54.95	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $549.54 / $1,202.26	Professional	TC	$363.08	$549.54	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $524.81 / $575.44	Professional		$389.05	$524.81	$575.44
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $51.29	Professional	26	$35.48	$46.77	$51.29
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $478.63 / $524.81	Professional	TC	$354.81	$478.63	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $512.86 / $1,000.00	Professional		$398.11	$512.86	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $100.00	Professional	26	$40.74	$53.70	$100.00
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $501.19 / $912.01	Professional	TC	$371.54	$501.19	$912.01
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $3,311.31 / $3,311.31	Professional		$2,691.53	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $338.84 / $338.84	Professional	26	$269.15	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,398.83 / $2,951.21 / $2,951.21	Professional	TC	$2,398.83	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $338.84 / $457.09	Professional		$50.12	$338.84	$457.09
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility	26	$35.48	$35.48	$35.48
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $588.84 / $1,288.25	Professional		$398.11	$588.84	$1,288.25
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $117.49	Professional	26	$38.90	$54.95	$117.49
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $549.54 / $1,202.26	Professional	TC	$380.19	$549.54	$1,202.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Professional	TC	$1,380.38	$1,380.38	$1,380.38
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $512.86 / $660.69	Professional		$389.05	$512.86	$660.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $524.81 / $1,380.38	Professional		$371.54	$524.81	$1,380.38
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $50.12 / $123.03	Professional	26	$35.48	$50.12	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $478.63 / $1,174.90	Professional	TC	$338.84	$478.63	$1,174.90

California rates for HCPCS 78227