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 $43.65 / $85.11 / $263.03	Facility	26	$43.65	$85.11	$263.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $1,318.26	Professional		$177.83	$234.42	$1,318.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $190.55 / $1,071.52	Professional	TC	$138.04	$190.55	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $363.08 / $758.58	Professional		$263.03	$363.08	$758.58
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $295.12 / $616.60	Professional	TC	$213.80	$295.12	$616.60
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $851.14	Professional		$257.04	$363.08	$851.14
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $302.00 / $707.95	Professional	TC	$213.80	$302.00	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $645.65	Professional		$199.53	$302.00	$645.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $257.04 / $537.03	Professional	TC	$169.82	$257.04	$537.03
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $371.54	Professional		$275.42	$275.42	$371.54
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $66.07	Professional	26	$48.98	$48.98	$66.07
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $223.87 / $302.00	Professional	TC	$223.87	$223.87	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $269.15 / $512.86	Professional		$208.93	$269.15	$512.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $56.23 / $102.33	Professional	26	$42.66	$56.23	$102.33
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $234.42 / $426.58	Professional	TC	$177.83	$234.42	$426.58
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	26	$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,737.80 / $1,737.80	Professional		$1,445.44	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,202.26 / $1,380.38 / $1,380.38	Professional	TC	$1,202.26	$1,380.38	$1,380.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $165.96 / $208.93	Professional		$42.66	$165.96	$208.93
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $645.65	Professional		$204.17	$309.03	$645.65
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $257.04 / $537.03	Professional	TC	$177.83	$257.04	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $269.15 / $660.69	Professional		$194.98	$269.15	$660.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $218.78 / $537.03	Professional	TC	$154.88	$218.78	$537.03

California rates for HCPCS 78469