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 $34.67 / $44.67 / $97.72	Facility	26	$34.67	$44.67	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $354.81 / $1,445.44	Professional		$251.19	$354.81	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $53.70 / $186.21	Professional	26	$33.11	$53.70	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $288.40 / $954.99	Professional	TC	$218.78	$288.40	$954.99
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $53.70 / $190.55	Professional	26	$21.88	$53.70	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $363.08 / $1,023.29	Professional		$251.19	$363.08	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $58.88 / $120.23	Professional	26	$41.69	$58.88	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $309.03 / $891.25	Professional	TC	$204.17	$309.03	$891.25
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $489.78 / $1,071.52	Professional		$354.81	$489.78	$1,071.52
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $52.48 / $128.82	Professional	26	$38.02	$52.48	$128.82
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $446.68 / $933.25	Professional	TC	$316.23	$446.68	$933.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $380.19 / $891.25	Professional		$234.42	$380.19	$891.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $47.86 / $104.71	Professional	26	$33.88	$47.86	$104.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $346.74 / $812.83	Professional	TC	$194.98	$346.74	$812.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $436.52	Professional		$295.12	$398.11	$436.52
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $40.74 / $44.67	Professional	26	$29.51	$40.74	$44.67
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $354.81 / $389.05	Professional	TC	$269.15	$354.81	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $389.05 / $741.31	Professional		$302.00	$389.05	$741.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $87.10	Professional	26	$35.48	$46.77	$87.10
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 $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,511.89 / $2,511.89	Professional		$2,041.74	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $275.42 / $295.12 / $295.12	Professional	26	$275.42	$295.12	$295.12
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 $43.65 / $251.19 / $338.84	Professional		$43.65	$251.19	$338.84
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $371.54 / $891.25	Professional		$234.42	$371.54	$891.25
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $104.71	Professional	26	$34.67	$47.86	$104.71
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $346.74 / $812.83	Professional	TC	$194.98	$346.74	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	26	$125.89	$125.89	$125.89
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 $218.78 / $295.12 / $446.68	Professional		$218.78	$295.12	$446.68
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $346.74 / $1,023.29	Professional		$190.55	$346.74	$1,023.29
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $43.65 / $107.15	Professional	26	$30.20	$43.65	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $302.00 / $870.96	Professional	TC	$162.18	$302.00	$870.96

California rates for HCPCS 78264