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 $70.79 / $100.00 / $467.74	Facility	26	$70.79	$100.00	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $575.44 / $2,454.71	Professional		$416.87	$575.44	$2,454.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $83.18 / $316.23	Professional	26	$67.61	$83.18	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $436.52 / $1,122.02	Professional	TC	$323.59	$436.52	$1,122.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $426.58 / $524.81	Professional		$380.19	$426.58	$524.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $89.13 / $181.97	Professional	26	$61.66	$89.13	$181.97
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $323.59 / $363.08	Professional	TC	$323.59	$323.59	$363.08
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $660.69 / $1,479.11	Professional		$478.63	$660.69	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $114.82 / $229.09	Professional	26	$83.18	$114.82	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $537.03 / $1,230.27	Professional	TC	$389.05	$537.03	$1,230.27
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $707.95 / $1,778.28	Professional		$537.03	$707.95	$1,778.28
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $107.15 / $263.03	Professional	26	$81.28	$107.15	$263.03
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $602.56 / $1,513.56	Professional	TC	$457.09	$602.56	$1,513.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $616.60 / $1,318.26	Professional		$416.87	$616.60	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $97.72 / $213.80	Professional	26	$67.61	$97.72	$213.80
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $524.81 / $1,148.15	Professional	TC	$354.81	$524.81	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $588.84 / $645.65	Professional		$346.74	$588.84	$645.65
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $87.10 / $95.50	Professional	26	$52.48	$87.10	$95.50
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $501.19 / $549.54	Professional	TC	$295.12	$501.19	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $575.44 / $1,023.29	Professional		$426.58	$575.44	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $100.00 / $181.97	Professional	26	$74.13	$100.00	$181.97
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $524.81 / $933.25	Professional	TC	$389.05	$524.81	$933.25
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,884.03 / $3,548.13 / $3,548.13	Professional		$2,884.03	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $478.63 / $602.56 / $602.56	Professional	26	$478.63	$602.56	$602.56
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 $89.13 / $398.11 / $489.78	Professional		$89.13	$398.11	$489.78
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $616.60 / $1,348.96	Professional		$416.87	$616.60	$1,348.96
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $97.72 / $213.80	Professional	26	$69.18	$97.72	$213.80
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $524.81 / $1,174.90	Professional	TC	$363.08	$524.81	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional	26	$257.04	$257.04	$257.04
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,348.96 / $1,348.96 / $1,348.96	Professional	TC	$1,348.96	$1,348.96	$1,348.96
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $489.78 / $630.96	Professional		$346.74	$489.78	$630.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $575.44 / $1,445.44	Professional		$407.38	$575.44	$1,445.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $100.00 / $229.09	Professional	26	$67.61	$100.00	$229.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $478.63 / $1,202.26	Professional	TC	$346.74	$478.63	$1,202.26

California rates for HCPCS 78452