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 $45.71 / $58.88 / $125.89	Facility	26	$45.71	$58.88	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $1,621.81	Professional		$263.03	$354.81	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $66.07 / $239.88	Professional	26	$41.69	$66.07	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $281.84 / $1,148.15	Professional	TC	$213.80	$281.84	$1,148.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $77.62	Professional	26	$69.18	$69.18	$77.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $1,122.02	Professional		$295.12	$398.11	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $77.62 / $154.88	Professional	26	$53.70	$77.62	$154.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $331.13 / $977.24	Professional	TC	$234.42	$331.13	$977.24
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $512.86 / $1,096.48	Professional		$371.54	$512.86	$1,096.48
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $69.18 / $169.82	Professional	26	$52.48	$69.18	$169.82
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $446.68 / $954.99	Professional	TC	$316.23	$446.68	$954.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $426.58 / $977.24	Professional		$263.03	$426.58	$977.24
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $134.90	Professional	26	$43.65	$63.10	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $380.19 / $851.14	Professional	TC	$229.09	$380.19	$851.14
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $416.87 / $457.09	Professional		$131.83	$416.87	$457.09
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $52.48 / $58.88	Professional	26	$16.98	$52.48	$58.88
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $363.08 / $398.11	Professional	TC	$114.82	$363.08	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $407.38 / $776.25	Professional		$309.03	$407.38	$776.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $61.66 / $112.20	Professional	26	$45.71	$61.66	$112.20
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $380.19 / $691.83	Professional	TC	$281.84	$380.19	$691.83
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility	26	$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $2,630.27 / $2,630.27	Professional		$2,137.96	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $363.08 / $380.19 / $380.19	Professional	26	$363.08	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,819.70 / $2,238.72 / $2,238.72	Professional	TC	$1,819.70	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $251.19 / $363.08	Professional		$56.23	$251.19	$363.08
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $426.58 / $1,000.00	Professional		$263.03	$426.58	$1,000.00
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $134.90	Professional	26	$43.65	$63.10	$134.90
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $380.19 / $891.25	Professional	TC	$229.09	$380.19	$891.25
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	26	$162.18	$162.18	$162.18
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Professional	TC	$1,023.29	$1,023.29	$1,023.29
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $380.19	Professional		$194.98	$316.23	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $363.08 / $1,047.13	Professional		$229.09	$363.08	$1,047.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $56.23 / $141.25	Professional	26	$38.90	$56.23	$141.25
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $309.03 / $891.25	Professional	TC	$190.55	$309.03	$891.25

California rates for HCPCS 78315