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 $41.69 / $60.26 / $269.15	Professional		$41.69	$60.26	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $52.48 / $173.78	Professional	26	$26.30	$52.48	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $23.44 / $165.96	Professional	TC	$15.14	$23.44	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $47.86 / $48.98	Professional		$28.84	$47.86	$48.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $69.18 / $83.18	Professional	26	$16.60	$69.18	$83.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	TC	$114.82	$114.82	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $162.18	Professional		$52.48	$69.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $44.67 / $104.71	Professional	26	$30.20	$44.67	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $26.30 / $64.57	Professional	TC	$16.22	$26.30	$64.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $69.18 / $147.91	Professional		$53.70	$69.18	$147.91
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $43.65 / $95.50	Professional	26	$33.88	$43.65	$95.50
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $25.70 / $54.95	Professional	TC	$19.50	$25.70	$54.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $37.15 / $120.23	Professional		$26.92	$37.15	$120.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $22.91 / $72.44	Professional	26	$16.22	$22.91	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $15.49 / $45.71	Professional	TC	$10.47	$15.49	$45.71
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $69.18 / $93.33	Professional		$28.18	$69.18	$93.33
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $38.90 / $52.48	Professional	26	$22.39	$38.90	$52.48
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.62 / $29.51 / $39.81	Professional	TC	$5.62	$29.51	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $66.07 / $104.71	Professional		$54.95	$66.07	$104.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $45.71 / $58.88	Professional	26	$31.62	$45.71	$58.88
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $43.65	Professional	TC	$21.88	$32.36	$43.65
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	26	$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $52.48 / $147.91	Professional		$27.54	$52.48	$147.91
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $22.91 / $79.43	Professional	26	$16.22	$22.91	$79.43
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.23 / $15.49 / $45.71	Professional	TC	$10.23	$15.49	$45.71
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	TC	$72.44	$72.44	$72.44
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $77.62	Professional		$56.23	$56.23	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $43.65 / $169.82	Professional		$30.90	$43.65	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $30.20 / $109.65	Professional	26	$18.20	$30.20	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $14.45 / $60.26	Professional	TC	$11.75	$14.45	$60.26

California rates for HCPCS 88172