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 $181.97 / $239.88 / $512.86	Professional		$181.97	$239.88	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $134.90	Professional	26	$30.90	$45.71	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $208.93 / $478.63	Professional	TC	$144.54	$208.93	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $77.62 / $91.20	Professional	26	$75.86	$77.62	$91.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $363.08 / $933.25	Professional		$275.42	$363.08	$933.25
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $147.91	Professional	26	$54.95	$70.79	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $288.40 / $776.25	Professional	TC	$223.87	$288.40	$776.25
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $269.15 / $588.84	Professional		$208.93	$269.15	$588.84
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.00 / $14.79	Professional	26	$7.76	$10.00	$14.79
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $245.47 / $346.74	Professional	TC	$190.55	$245.47	$346.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $660.69	Professional		$112.20	$229.09	$660.69
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $31.62 / $95.50	Professional	26	$22.39	$31.62	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $186.21 / $602.56	Professional	TC	$87.10	$186.21	$602.56
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $363.08 / $489.78	Professional		$186.21	$363.08	$489.78
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $45.71 / $61.66	Professional	26	$38.90	$45.71	$61.66
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $316.23 / $426.58	Professional	TC	$144.54	$316.23	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $338.84 / $537.03	Professional		$281.84	$338.84	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $52.48 / $69.18	Professional	26	$36.31	$52.48	$69.18
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $346.74 / $478.63	Professional	TC	$239.88	$346.74	$478.63
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility	26	$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,089.30 / $2,290.87 / $2,290.87	Professional		$2,089.30	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	26	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,819.70 / $1,949.84 / $1,949.84	Professional	TC	$1,819.70	$1,949.84	$1,949.84
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $234.42 / $831.76	Professional		$114.82	$234.42	$831.76
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $32.36 / $81.28	Professional	26	$22.39	$32.36	$81.28
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $194.98 / $602.56	Professional	TC	$89.13	$194.98	$602.56
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional	26	$169.82	$169.82	$169.82
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional	TC	$1,148.15	$1,148.15	$1,148.15
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $208.93 / $1,047.13	Professional		$128.82	$208.93	$1,047.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $30.20 / $131.83	Professional	26	$25.70	$30.20	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $181.97 / $912.01	Professional	TC	$102.33	$181.97	$912.01

California rates for HCPCS 88374