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 $44.67 / $87.10 / $281.84	Facility	26	$44.67	$87.10	$281.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $275.42 / $1,318.26	Professional		$190.55	$275.42	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $245.47	Professional	26	$39.81	$53.70	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $208.93 / $1,047.13	Professional	TC	$147.91	$208.93	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $380.19 / $794.33	Professional		$263.03	$380.19	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $74.13 / $147.91	Professional	26	$53.70	$74.13	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $309.03 / $645.65	Professional	TC	$213.80	$309.03	$645.65
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $870.96	Professional		$263.03	$354.81	$870.96
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $162.18	Professional	26	$48.98	$67.61	$162.18
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $288.40 / $707.95	Professional	TC	$213.80	$288.40	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $645.65	Professional		$204.17	$309.03	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $60.26 / $128.82	Professional	26	$41.69	$60.26	$128.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $257.04 / $549.54	Professional	TC	$169.82	$257.04	$549.54
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $281.84 / $309.03	Professional		$165.96	$281.84	$309.03
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $51.29 / $56.23	Professional	26	$31.62	$51.29	$56.23
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $229.09 / $251.19	Professional	TC	$134.90	$229.09	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $275.42 / $524.81	Professional		$213.80	$275.42	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $58.88 / $109.65	Professional	26	$44.67	$58.88	$109.65
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $239.88 / $436.52	Professional	TC	$177.83	$239.88	$436.52
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,737.80 / $1,737.80	Professional		$1,548.82	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional	26	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,258.93 / $1,380.38 / $1,380.38	Professional	TC	$1,258.93	$1,380.38	$1,380.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $165.96 / $239.88	Professional		$53.70	$165.96	$239.88
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
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 26 Typical Low / Median / Typical High $41.69 / $60.26 / $128.82	Professional	26	$41.69	$60.26	$128.82
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $257.04 / $549.54	Professional	TC	$177.83	$257.04	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional	26	$158.49	$158.49	$158.49
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
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $316.23 / $407.38	Professional		$229.09	$316.23	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $269.15 / $676.08	Professional		$199.53	$269.15	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $53.70 / $138.04	Professional	26	$38.90	$53.70	$138.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $218.78 / $537.03	Professional	TC	$158.49	$218.78	$537.03

California rates for HCPCS 78472