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 $83.18 / $218.78 / $812.83	Professional		$83.18	$218.78	$812.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $51.29 / $218.78	Professional	26	$25.12	$51.29	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $144.54 / $602.56	Professional	TC	$57.54	$144.54	$602.56
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $323.59 / $588.84	Professional		$190.55	$323.59	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $100.00 / $162.18	Professional	26	$56.23	$100.00	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $223.87 / $407.38	Professional	TC	$141.25	$223.87	$407.38
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $288.40 / $602.56	Professional		$218.78	$288.40	$602.56
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $72.44 / $154.88	Professional	26	$57.54	$72.44	$154.88
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $213.80 / $457.09	Professional	TC	$165.96	$213.80	$457.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $134.90 / $398.11	Professional		$57.54	$134.90	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $33.88 / $104.71	Professional	26	$17.38	$33.88	$104.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $95.50 / $288.40	Professional	TC	$38.90	$95.50	$288.40
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $190.55	Professional		$95.50	$141.25	$190.55
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $48.98 / $77.62	Professional	26	$36.31	$48.98	$77.62
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $104.71 / $141.25	Professional	TC	$19.05	$104.71	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $131.83 / $208.93	Professional		$107.15	$131.83	$208.93
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $41.69 / $53.70	Professional	26	$28.84	$41.69	$53.70
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $114.82 / $154.88	Professional	TC	$77.62	$114.82	$154.88
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 $1,148.15 / $1,148.15 / $1,288.25	Professional		$1,148.15	$1,148.15	$1,288.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $363.08 / $363.08 / $380.19	Professional	26	$363.08	$363.08	$380.19
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $812.83 / $812.83 / $933.25	Professional	TC	$812.83	$812.83	$933.25
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $144.54 / $398.11	Professional		$57.54	$144.54	$398.11
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $33.88 / $102.33	Professional	26	$17.38	$33.88	$102.33
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $95.50 / $288.40	Professional	TC	$38.02	$95.50	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	26	$131.83	$131.83	$131.83
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 $114.82 / $114.82 / $158.49	Professional		$114.82	$114.82	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $131.83 / $346.74	Professional		$69.18	$131.83	$346.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $36.31 / $102.33	Professional	26	$21.38	$36.31	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $97.72 / $263.03	Professional	TC	$47.86	$97.72	$263.03

California rates for HCPCS 88367