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 $79.43 / $97.72 / $295.12	Professional		$79.43	$97.72	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $154.88 / $741.31	Professional	26	$54.95	$154.88	$741.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.02 / $95.50	Professional	TC	$28.18	$38.02	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $229.09	Professional		$48.98	$48.98	$229.09
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $100.00 / $269.15	Professional	26	$28.84	$100.00	$269.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $295.12	Professional		$89.13	$117.49	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $85.11 / $181.97	Professional	26	$60.26	$85.11	$181.97
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $109.65	Professional	TC	$25.12	$34.67	$109.65
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $117.49 / $251.19	Professional		$93.33	$117.49	$251.19
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $85.11 / $181.97	Professional	26	$67.61	$85.11	$181.97
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $32.36 / $70.79	Professional	TC	$25.12	$32.36	$70.79
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $213.80	Professional		$47.86	$64.57	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $39.81 / $138.04	Professional	26	$30.90	$39.81	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $23.44 / $89.13	Professional	TC	$15.49	$23.44	$89.13
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $123.03 / $165.96	Professional		$44.67	$123.03	$165.96
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $69.18 / $93.33	Professional	26	$35.48	$69.18	$93.33
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.91 / $54.95 / $74.13	Professional	TC	$8.91	$54.95	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $117.49 / $190.55	Professional		$97.72	$117.49	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $79.43 / $102.33	Professional	26	$54.95	$79.43	$102.33
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $60.26 / $83.18	Professional	TC	$41.69	$60.26	$83.18
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	TC	$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $831.76 / $831.76	Professional		$645.65	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $380.19 / $478.63 / $478.63	Professional	26	$380.19	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $128.82 / $194.98	Facility		$81.28	$128.82	$194.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $89.13 / $269.15	Professional		$47.86	$89.13	$269.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $39.81 / $138.04	Professional	26	$30.90	$39.81	$138.04
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $23.99 / $83.18	Professional	TC	$16.22	$23.99	$83.18
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	TC	$131.83	$131.83	$131.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $138.04	Professional		$100.00	$100.00	$138.04
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $125.89	Facility		$12.02	$12.02	$125.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $67.61 / $288.40	Professional		$53.70	$67.61	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $54.95 / $190.55	Professional	26	$35.48	$54.95	$190.55
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.70 / $112.20	Professional	TC	$17.38	$25.70	$112.20

California rates for HCPCS 88331