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 $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Facility	TC	$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $20.89 / $67.61	Professional		$15.14	$20.89	$67.61
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $21.38 / $74.13	Professional	26	$10.00	$21.38	$74.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.89 / $7.94 / $26.92	Professional	TC	$5.89	$7.94	$26.92
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $39.81	Professional		$10.96	$10.96	$39.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $22.39 / $57.54	Professional	26	$5.62	$22.39	$57.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $22.91 / $61.66	Professional		$17.78	$22.91	$61.66
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.22 / $39.81	Professional	26	$12.02	$16.22	$39.81
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.37 / $7.24 / $26.92	Professional	TC	$4.37	$7.24	$26.92
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $24.55 / $53.70	Professional		$19.05	$24.55	$53.70
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.38 / $38.02	Professional	26	$13.49	$17.38	$38.02
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.62 / $7.24 / $15.49	Professional	TC	$5.62	$7.24	$15.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $13.80 / $43.65	Professional		$9.77	$13.80	$43.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.32 / $25.70	Professional	26	$6.17	$8.32	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.55 / $5.62 / $18.62	Professional	TC	$3.55	$5.62	$18.62
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $24.55 / $33.11	Professional		$7.94	$24.55	$33.11
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $13.18 / $17.78	Professional	26	$6.31	$13.18	$17.78
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.58 / $11.48 / $15.49	Professional	TC	$1.58	$11.48	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $23.99 / $38.02	Professional		$19.50	$23.99	$38.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.49 / $19.95	Professional	26	$10.72	$15.49	$19.95
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.51 / $12.59 / $16.98	Professional	TC	$8.51	$12.59	$16.98
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
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 $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $169.82 / $169.82	Professional		$131.83	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $26.30 / $38.90	Facility		$16.60	$26.30	$38.90
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $18.62 / $54.95	Professional		$9.77	$18.62	$54.95
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $7.94 / $27.54	Professional	26	$6.17	$7.94	$27.54
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.55 / $5.62 / $18.62	Professional	TC	$3.55	$5.62	$18.62
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Professional	26	$46.77	$46.77	$46.77
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional	TC	$33.88	$33.88	$33.88
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $27.54	Professional		$19.95	$19.95	$27.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $16.98	Facility		$12.02	$12.02	$16.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $14.13 / $64.57	Professional		$10.96	$14.13	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.96 / $58.88	Professional	26	$6.76	$10.96	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.80 / $5.75 / $26.30	Professional	TC	$3.80	$5.75	$26.30

California rates for HCPCS 88311