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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $58.88 / $588.84	Professional		$44.67	$58.88	$588.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $21.88 / $169.82	Professional	26	$16.98	$21.88	$169.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $38.90 / $426.58	Professional	TC	$25.70	$38.90	$426.58
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $63.10 / $213.80	Professional		$35.48	$63.10	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $81.28	Professional	26	$24.55	$32.36	$81.28
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $33.11 / $134.90	Professional	TC	$9.33	$33.11	$134.90
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $75.86 / $158.49	Professional		$58.88	$75.86	$158.49
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $35.48 / $79.43	Professional	26	$28.18	$35.48	$79.43
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $38.90 / $89.13	Professional	TC	$30.20	$38.90	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $45.71 / $147.91	Professional		$30.90	$45.71	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.60 / $52.48	Professional	26	$12.88	$16.60	$52.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.20 / $93.33	Professional	TC	$17.78	$30.20	$93.33
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $109.65 / $147.91	Professional		$20.89	$109.65	$147.91
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $28.18 / $38.02	Professional	26	$16.60	$28.18	$38.02
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.17 / $83.18 / $112.20	Professional	TC	$4.17	$83.18	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $104.71 / $165.96	Professional		$85.11	$104.71	$165.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.11 / $42.66	Professional	26	$22.91	$33.11	$42.66
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $89.13 / $123.03	Professional	TC	$61.66	$89.13	$123.03
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $707.95 / $707.95	Professional		$467.74	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $199.53 / $199.53	Professional	26	$194.98	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $501.19 / $501.19	Professional	TC	$309.03	$501.19	$501.19
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $57.54 / $190.55	Professional		$31.62	$57.54	$190.55
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.22 / $54.95	Professional	26	$12.88	$16.22	$54.95
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.20 / $91.20	Professional	TC	$17.78	$30.20	$91.20
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 $95.50 / $95.50 / $95.50	Professional	26	$95.50	$95.50	$95.50
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $123.03	Professional		$91.20	$91.20	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $48.98 / $208.93	Professional		$33.88	$48.98	$208.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $18.20 / $77.62	Professional	26	$14.45	$18.20	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $33.11 / $141.25	Professional	TC	$19.05	$33.11	$141.25

California rates for HCPCS 88161