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 $93.33 / $154.88 / $870.96	Professional		$93.33	$154.88	$870.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $134.90 / $588.84	Professional	26	$41.69	$134.90	$588.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $93.33 / $371.54	Professional	TC	$57.54	$93.33	$371.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $67.61 / $117.49	Professional		$60.26	$67.61	$117.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $70.79 / $95.50	Professional	26	$19.95	$70.79	$95.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $478.63	Professional	TC	$162.18	$162.18	$478.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $169.82 / $389.05	Professional		$120.23	$169.82	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $85.11 / $173.78	Professional	26	$52.48	$85.11	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $251.19	Professional	TC	$64.57	$83.18	$251.19
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $316.23	Professional		$117.49	$151.36	$316.23
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $79.43 / $169.82	Professional	26	$63.10	$79.43	$169.82
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $69.18 / $144.54	Professional	TC	$53.70	$69.18	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $91.20 / $269.15	Professional		$61.66	$91.20	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $120.23	Professional	26	$21.88	$33.11	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $54.95 / $177.83	Professional	TC	$33.88	$54.95	$177.83
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $158.49 / $213.80	Professional		$56.23	$158.49	$213.80
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $61.66	Professional	26	$45.71	$45.71	$61.66
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.22 / $114.82 / $154.88	Professional	TC	$11.22	$114.82	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $151.36 / $239.88	Professional		$123.03	$151.36	$239.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $53.70 / $69.18	Professional	26	$37.15	$53.70	$69.18
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $125.89 / $169.82	Professional	TC	$85.11	$125.89	$169.82
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,000.00 / $1,000.00	Professional		$758.58	$1,000.00	$1,000.00
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $316.23 / $316.23 / $331.13	Professional	26	$316.23	$316.23	$331.13
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $676.08 / $676.08	Professional	TC	$512.86	$676.08	$676.08
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $158.49 / $257.04	Facility		$95.50	$158.49	$257.04
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $117.49 / $346.74	Professional		$61.66	$117.49	$346.74
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $35.48 / $120.23	Professional	26	$21.88	$35.48	$120.23
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $54.95 / $177.83	Professional	TC	$34.67	$54.95	$177.83
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	26	$162.18	$162.18	$162.18
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Professional	TC	$316.23	$316.23	$316.23
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $177.83	Professional		$131.83	$131.83	$177.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $380.19	Professional		$69.18	$89.13	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $41.69 / $173.78	Professional	26	$26.30	$41.69	$173.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $58.88 / $251.19	Professional	TC	$39.81	$58.88	$251.19

California rates for HCPCS 88360