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 Professional Modifier Typical Low / Median / Typical High $97.72 / $151.36 / $645.65	Professional		$97.72	$151.36	$645.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $138.04 / $501.19	Professional	26	$58.88	$138.04	$501.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $102.33 / $707.95	Professional	TC	$63.10	$102.33	$707.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $151.36 / $302.00	Professional		$83.18	$151.36	$302.00
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $138.04 / $162.18	Professional	26	$63.10	$138.04	$162.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional	TC	$457.09	$457.09	$457.09
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $154.88 / $457.09	Professional		$85.11	$154.88	$457.09
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $89.13 / $223.87	Professional	26	$66.07	$89.13	$223.87
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $70.79 / $263.03	Professional	TC	$19.95	$70.79	$263.03
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $181.97 / $389.05	Professional		$141.25	$181.97	$389.05
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $100.00 / $213.80	Professional	26	$79.43	$100.00	$213.80
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $169.82	Professional	TC	$64.57	$83.18	$169.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $338.84	Professional		$74.13	$97.72	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $144.54	Professional	26	$35.48	$46.77	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $54.95 / $186.21	Professional	TC	$36.31	$54.95	$186.21
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $218.78 / $295.12	Professional		$52.48	$218.78	$295.12
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $77.62 / $104.71	Professional	26	$41.69	$77.62	$104.71
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $141.25 / $190.55	Professional	TC	$10.47	$141.25	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $204.17 / $331.13	Professional		$169.82	$204.17	$331.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $89.13 / $114.82	Professional	26	$61.66	$89.13	$114.82
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $154.88 / $213.80	Professional	TC	$107.15	$154.88	$213.80
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility	26	$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $436.52 / $537.03 / $537.03	Professional	26	$436.52	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $562.34 / $891.25 / $891.25	Professional	TC	$562.34	$891.25	$891.25
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $186.21 / $302.00	Facility		$95.50	$186.21	$302.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $134.90 / $436.52	Professional		$74.13	$134.90	$436.52
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $45.71 / $154.88	Professional	26	$35.48	$45.71	$154.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $54.95 / $186.21	Professional	TC	$36.31	$54.95	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	26	$269.15	$269.15	$269.15
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional	TC	$316.23	$316.23	$316.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $102.33 / $457.09	Professional		$79.43	$102.33	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $58.88 / $213.80	Professional	26	$39.81	$58.88	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $64.57 / $251.19	Professional	TC	$38.90	$64.57	$251.19

California rates for HCPCS 88173