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 $42.66 / $53.70 / $123.03	Professional		$42.66	$53.70	$123.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.05 / $60.26	Professional	26	$15.14	$19.05	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $35.48 / $75.86	Professional	TC	$28.84	$35.48	$75.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $104.71 / $229.09	Professional		$79.43	$104.71	$229.09
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.11 / $75.86	Professional	26	$25.70	$33.11	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $70.79 / $158.49	Professional	TC	$54.95	$70.79	$158.49
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $147.91	Professional		$57.54	$75.86	$147.91
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $7.41 / $131.83	Professional	26	$5.50	$7.41	$131.83
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $69.18 / $144.54	Professional	TC	$52.48	$69.18	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $144.54	Professional		$32.36	$51.29	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.22 / $48.98	Professional	26	$10.96	$16.22	$48.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $34.67 / $102.33	Professional	TC	$21.38	$34.67	$102.33
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $83.18 / $112.20	Professional		$53.70	$83.18	$112.20
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $27.54 / $37.15	Professional	26	$17.78	$27.54	$37.15
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $56.23 / $75.86	Professional	TC	$36.31	$56.23	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $77.62 / $125.89	Professional		$64.57	$77.62	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $31.62 / $40.74	Professional	26	$21.88	$31.62	$40.74
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $61.66 / $83.18	Professional	TC	$41.69	$61.66	$83.18
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $549.54 / $549.54	Professional		$436.52	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $190.55 / $190.55	Professional	26	$158.49	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $354.81 / $354.81	Professional	TC	$281.84	$354.81	$354.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $66.07 / $181.97	Professional		$33.11	$66.07	$181.97
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $17.38 / $47.86	Professional	26	$11.22	$17.38	$47.86
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $34.67 / $97.72	Professional	TC	$21.88	$34.67	$97.72
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $93.33	Professional		$67.61	$67.61	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $48.98 / $223.87	Professional		$37.15	$48.98	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.38 / $77.62	Professional	26	$13.18	$17.38	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.90 / $144.54	Professional	TC	$24.55	$30.90	$144.54

California rates for HCPCS 88373