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 $75.86 / $128.82 / $602.56	Professional		$75.86	$128.82	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $67.61 / $281.84	Professional	26	$23.99	$67.61	$281.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $93.33 / $676.08	Professional	TC	$63.10	$93.33	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $104.71 / $204.17	Professional		$58.88	$104.71	$204.17
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $32.36 / $125.89	Professional	26	$12.88	$32.36	$125.89
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $42.66 / $89.13	Professional	TC	$41.69	$42.66	$89.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $109.65 / $316.23	Professional		$33.11	$109.65	$316.23
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $32.36 / $75.86	Professional	26	$25.12	$32.36	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.50 / $81.28 / $239.88	Professional	TC	$5.50	$81.28	$239.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $112.20 / $234.42	Professional		$87.10	$112.20	$234.42
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $27.54 / $60.26	Professional	26	$22.39	$27.54	$60.26
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $85.11 / $177.83	Professional	TC	$64.57	$85.11	$177.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $218.78	Professional		$48.98	$72.44	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $16.98 / $54.95	Professional	26	$13.49	$16.98	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $57.54 / $169.82	Professional	TC	$33.88	$57.54	$169.82
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $147.91 / $199.53	Professional		$33.11	$147.91	$199.53
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $29.51 / $39.81	Professional	26	$26.30	$29.51	$39.81
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.61 / $117.49 / $158.49	Professional	TC	$6.61	$117.49	$158.49
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $138.04 / $223.87	Professional		$114.82	$138.04	$223.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $33.88 / $43.65	Professional	26	$23.44	$33.88	$43.65
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $128.82 / $177.83	Professional	TC	$89.13	$128.82	$177.83
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	26	$162.18	$162.18	$162.18
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility	TC	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $933.25 / $933.25	Professional		$177.83	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $204.17 / $204.17	Professional	26	$162.18	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $724.44 / $724.44	Professional	TC	$549.54	$724.44	$724.44
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $120.23 / $204.17	Facility		$40.74	$120.23	$204.17
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $281.84	Professional		$48.98	$89.13	$281.84
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $16.98 / $60.26	Professional	26	$13.49	$16.98	$60.26
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $57.54 / $169.82	Professional	TC	$33.88	$57.54	$169.82
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	TC	$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $165.96	Professional		$120.23	$120.23	$165.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $35.48	Facility		$25.70	$25.70	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $79.43 / $389.05	Professional		$54.95	$79.43	$389.05
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $25.70 / $89.13	Professional	26	$15.49	$25.70	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $56.23 / $239.88	Professional	TC	$40.74	$56.23	$239.88

California rates for HCPCS 88312