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. Small sample — interpret with caution. 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 $87.10 / $141.25 / $676.08	Professional		$87.10	$141.25	$676.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $102.33 / $323.59	Professional	26	$67.61	$102.33	$323.59
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $57.54 / $173.78	Professional	TC	$21.88	$57.54	$173.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $194.98	Professional	26	$151.36	$151.36	$194.98
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $158.49 / $380.19	Professional		$81.28	$158.49	$380.19
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $97.72 / $251.19	Professional	26	$66.07	$97.72	$251.19
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $58.88 / $131.83	Professional	TC	$15.49	$58.88	$131.83
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $162.18 / $346.74	Professional		$125.89	$162.18	$346.74
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $97.72 / $208.93	Professional	26	$75.86	$97.72	$208.93
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $64.57 / $134.90	Professional	TC	$50.12	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $87.10 / $288.40	Professional		$58.88	$87.10	$288.40
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $56.23 / $181.97	Professional	26	$42.66	$56.23	$181.97
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $33.11 / $107.15	Professional	TC	$15.49	$33.11	$107.15
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $141.25 / $190.55	Professional		$89.13	$141.25	$190.55
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $97.72 / $131.83	Professional	26	$70.79	$97.72	$131.83
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $41.69 / $56.23	Professional	TC	$17.78	$41.69	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $138.04 / $218.78	Professional		$112.20	$138.04	$218.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $112.20 / $147.91	Professional	26	$79.43	$112.20	$147.91
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $45.71 / $63.10	Professional	TC	$30.90	$45.71	$63.10
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $933.25 / $933.25	Professional		$794.33	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $537.03 / $691.83 / $691.83	Professional	26	$537.03	$691.83	$691.83
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $107.15 / $338.84	Professional		$58.88	$107.15	$338.84
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $54.95 / $190.55	Professional	26	$42.66	$54.95	$190.55
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $31.62 / $107.15	Professional	TC	$14.79	$31.62	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	26	$331.13	$331.13	$331.13
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $154.88	Professional		$112.20	$112.20	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $85.11 / $316.23	Professional		$70.79	$85.11	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $66.07 / $269.15	Professional	26	$50.12	$66.07	$269.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $33.11 / $93.33	Professional	TC	$15.85	$33.11	$93.33

California rates for HCPCS 88323