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 TC Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	TC	$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $93.33 / $346.74	Professional		$64.57	$93.33	$346.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $37.15 / $123.03	Professional	26	$10.00	$37.15	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $75.86 / $302.00	Professional	TC	$53.70	$75.86	$302.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $81.28 / $147.91	Professional		$46.77	$81.28	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $19.05 / $57.54	Professional	26	$5.62	$19.05	$57.54
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $34.67	Professional	TC	$33.88	$33.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $81.28 / $229.09	Professional		$28.84	$81.28	$229.09
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.60 / $35.48	Professional	26	$11.75	$16.60	$35.48
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.12 / $69.18 / $194.98	Professional	TC	$9.12	$69.18	$194.98
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $83.18 / $173.78	Professional		$64.57	$83.18	$173.78
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $12.30 / $26.30	Professional	26	$9.55	$12.30	$26.30
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $72.44 / $147.91	Professional	TC	$53.70	$72.44	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $52.48 / $158.49	Professional		$35.48	$52.48	$158.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $7.94 / $25.12	Professional	26	$6.17	$7.94	$25.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $45.71 / $134.90	Professional	TC	$29.51	$45.71	$134.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $109.65 / $151.36	Professional		$33.88	$109.65	$151.36
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $27.54	Professional	26	$13.18	$17.78	$27.54
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.92 / $97.72 / $131.83	Professional	TC	$6.92	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $104.71 / $165.96	Professional		$85.11	$104.71	$165.96
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 $72.44 / $107.15 / $147.91	Professional	TC	$72.44	$107.15	$147.91
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
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 $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $691.83 / $691.83	Professional		$131.83	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	26	$107.15	$107.15	$107.15
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $602.56 / $602.56	Professional	TC	$436.52	$602.56	$602.56
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $89.13 / $147.91	Facility		$32.36	$89.13	$147.91
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $60.26 / $204.17	Professional		$35.48	$60.26	$204.17
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $7.94 / $26.92	Professional	26	$6.17	$7.94	$26.92
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $45.71 / $134.90	Professional	TC	$29.51	$45.71	$134.90
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	TC	$245.47	$245.47	$245.47
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89
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 $41.69 / $57.54 / $257.04	Professional		$41.69	$57.54	$257.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $11.48 / $50.12	Professional	26	$6.76	$11.48	$50.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $43.65 / $194.98	Professional	TC	$34.67	$43.65	$194.98

California rates for HCPCS 88313