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 Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $100.00 / $489.78	Professional		$50.12	$100.00	$489.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $51.29 / $199.53	Professional	26	$20.89	$51.29	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $48.98 / $295.12	Professional	TC	$30.20	$48.98	$295.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $36.31 / $120.23	Professional		$32.36	$36.31	$120.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $43.65 / $147.91	Professional	26	$24.55	$43.65	$147.91
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional	TC	$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $165.96 / $302.00	Professional		$100.00	$165.96	$302.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $87.10 / $141.25	Professional	26	$45.71	$87.10	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $77.62 / $154.88	Professional	TC	$44.67	$77.62	$154.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $309.03	Professional		$112.20	$147.91	$309.03
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $79.43 / $162.18	Professional	26	$63.10	$79.43	$162.18
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $69.18 / $141.25	Professional	TC	$52.48	$69.18	$141.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $64.57 / $194.98	Professional		$34.67	$64.57	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $30.20 / $95.50	Professional	26	$14.45	$30.20	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $107.15	Professional	TC	$20.89	$32.36	$107.15
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $85.11 / $114.82	Professional		$60.26	$85.11	$114.82
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $41.69	Professional	26	$22.91	$30.90	$41.69
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $54.95 / $74.13	Professional	TC	$38.02	$54.95	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $131.83	Professional		$67.61	$81.28	$131.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $35.48 / $45.71	Professional	26	$24.55	$35.48	$45.71
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $60.26 / $83.18	Professional	TC	$41.69	$60.26	$83.18
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
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 Facility Modifier TC Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility	TC	$251.19	$251.19	$251.19
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Professional	26	$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $346.74 / $346.74	Professional	TC	$323.59	$346.74	$346.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $112.20 / $194.98	Facility		$54.95	$112.20	$194.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $72.44 / $199.53	Professional		$35.48	$72.44	$199.53
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $30.20 / $91.20	Professional	26	$14.45	$30.20	$91.20
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $104.71	Professional	TC	$20.89	$32.36	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $66.07 / $263.03	Professional		$40.74	$66.07	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $33.11 / $100.00	Professional	26	$17.38	$33.11	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $32.36 / $120.23	Professional	TC	$23.99	$32.36	$120.23

California rates for HCPCS 88112