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 $416.87 / $489.78 / $501.19	Facility		$416.87	$489.78	$501.19
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $87.10 / $147.91 / $177.83	Facility	TC	$87.10	$147.91	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $125.89 / $660.69	Professional		$66.07	$125.89	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $102.33 / $794.33	Professional	26	$33.88	$102.33	$794.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $85.11 / $616.60	Professional	TC	$31.62	$85.11	$616.60
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $70.79 / $295.12	Professional		$37.15	$70.79	$295.12
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $45.71 / $177.83	Professional	26	$18.20	$45.71	$177.83
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $20.89 / $218.78	Professional	TC	$17.38	$20.89	$218.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $269.15	Professional		$75.86	$125.89	$269.15
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $57.54 / $125.89	Professional	26	$38.90	$57.54	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $72.44 / $151.36	Professional	TC	$24.55	$72.44	$151.36
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $257.04	Professional		$93.33	$120.23	$257.04
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $60.26 / $131.83	Professional	26	$47.86	$60.26	$131.83
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $58.88 / $123.03	Professional	TC	$45.71	$58.88	$123.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $72.44 / $194.98	Professional		$36.31	$72.44	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.12 / $100.00	Professional	26	$19.05	$25.12	$100.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $38.02 / $117.49	Professional	TC	$17.38	$38.02	$117.49
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $91.20 / $123.03	Professional		$40.74	$91.20	$123.03
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $41.69 / $56.23	Professional	26	$33.11	$41.69	$56.23
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.13 / $48.98 / $66.07	Professional	TC	$8.13	$48.98	$66.07
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $83.18 / $165.96	Professional		$74.13	$83.18	$165.96
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $52.48	Professional	26	$37.15	$37.15	$52.48
HealthNet Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $85.11 / $141.25	Professional		$70.79	$85.11	$141.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $47.86 / $61.66	Professional	26	$33.11	$47.86	$61.66
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $53.70 / $74.13	Professional	TC	$37.15	$53.70	$74.13
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility	TC	$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $588.84 / $588.84	Professional		$109.65	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	26	$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $363.08	Professional	TC	$354.81	$354.81	$363.08
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $107.15 / $186.21	Facility		$57.54	$107.15	$186.21
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $77.62 / $194.98	Professional		$36.31	$77.62	$194.98
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.12 / $100.00	Professional	26	$19.05	$25.12	$100.00
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $38.02 / $117.49	Professional	TC	$16.22	$38.02	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	TC	$120.23	$120.23	$120.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $102.33	Professional		$74.13	$74.13	$102.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $147.91	Facility		$104.71	$104.71	$147.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $70.79 / $288.40	Professional		$42.66	$70.79	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $39.81 / $138.04	Professional	26	$21.38	$39.81	$138.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $39.81 / $138.04	Professional	TC	$19.05	$39.81	$138.04

California rates for HCPCS 88305