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 $239.88 / $288.40 / $316.23	Facility		$239.88	$288.40	$316.23
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $64.57	Facility	TC	$57.54	$57.54	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $74.13 / $346.74	Professional		$35.48	$74.13	$346.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $22.91 / $70.79	Professional	26	$9.12	$22.91	$70.79
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $53.70 / $218.78	Professional	TC	$22.91	$53.70	$218.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $39.81 / $91.20	Professional		$20.42	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $13.80 / $52.48	Professional	26	$5.37	$13.80	$52.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $70.79 / $158.49	Professional		$39.81	$70.79	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $20.89 / $42.66	Professional	26	$10.96	$20.89	$42.66
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $54.95 / $117.49	Professional	TC	$20.42	$54.95	$117.49
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $77.62 / $162.18	Professional		$60.26	$77.62	$162.18
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $32.36 / $67.61	Professional	26	$23.99	$32.36	$67.61
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $45.71 / $97.72	Professional	TC	$35.48	$45.71	$97.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $36.31 / $117.49	Professional		$21.88	$36.31	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $7.41 / $32.36	Professional	26	$5.62	$7.41	$32.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $29.51 / $89.13	Professional	TC	$15.85	$29.51	$89.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $54.95 / $74.13	Professional		$30.20	$54.95	$74.13
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.22 / $24.55	Professional	26	$12.02	$16.22	$24.55
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.17 / $42.66 / $57.54	Professional	TC	$6.17	$42.66	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $51.29 / $85.11	Professional		$42.66	$51.29	$85.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $13.80 / $18.20	Professional	26	$9.55	$13.80	$18.20
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $46.77 / $64.57	Professional	TC	$32.36	$46.77	$64.57
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	TC	$190.55	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $363.08 / $371.54	Professional		$131.83	$363.08	$371.54
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	26	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $269.15 / $275.42	Professional	TC	$269.15	$269.15	$275.42
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $66.07 / $109.65	Facility		$33.88	$66.07	$109.65
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $44.67 / $117.49	Professional		$21.88	$44.67	$117.49
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $7.41 / $32.36	Professional	26	$5.62	$7.41	$32.36
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $29.51 / $89.13	Professional	TC	$15.85	$29.51	$89.13
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	26	$43.65	$43.65	$43.65
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	TC	$112.20	$112.20	$112.20
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $61.66	Professional		$44.67	$44.67	$61.66
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $104.71	Facility		$75.86	$75.86	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $151.36	Professional		$25.12	$38.90	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $11.75 / $51.29	Professional	26	$6.46	$11.75	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.20 / $91.20	Professional	TC	$17.78	$30.20	$91.20

California rates for HCPCS 88304