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 Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $28.18 / $58.88	Facility	26	$12.88	$28.18	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $52.48 / $177.83	Professional		$30.90	$52.48	$177.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $17.78 / $63.10	Professional	26	$10.00	$17.78	$63.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $23.99 / $54.95	Professional	TC	$18.20	$23.99	$54.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $36.31 / $87.10	Professional		$26.92	$36.31	$87.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $22.39 / $56.23	Professional	26	$19.05	$22.39	$56.23
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $151.36	Professional		$48.98	$89.13	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $33.88 / $56.23	Professional	26	$16.60	$33.88	$56.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $56.23 / $97.72	Professional	TC	$33.11	$56.23	$97.72
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $102.33	Professional		$38.90	$54.95	$102.33
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $53.70	Professional	26	$13.18	$17.78	$53.70
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $35.48 / $66.07	Professional	TC	$25.70	$35.48	$66.07
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.51 / $11.75 / $16.98	Facility	26	$2.51	$11.75	$16.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $46.77 / $89.13	Professional		$30.90	$46.77	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $17.78 / $33.11	Professional	26	$11.75	$17.78	$33.11
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $29.51 / $60.26	Professional	TC	$20.42	$29.51	$60.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $44.67 / $60.26	Professional		$32.36	$44.67	$60.26
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $13.18 / $17.78	Professional	26	$12.59	$13.18	$17.78
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $31.62 / $42.66	Professional	TC	$19.50	$31.62	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $41.69 / $79.43	Professional		$33.11	$41.69	$79.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $14.79 / $24.55	Professional	26	$11.22	$14.79	$24.55
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.11 / $60.26	Professional	TC	$25.70	$33.11	$60.26
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $85.11	Facility	26	$70.79	$70.79	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $257.04 / $257.04	Professional		$194.98	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $83.18 / $83.18	Professional	26	$69.18	$83.18	$83.18
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $169.82 / $169.82	Professional	TC	$128.82	$169.82	$169.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $32.36 / $42.66	Professional		$14.79	$32.36	$42.66
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $81.28	Professional		$30.90	$48.98	$81.28
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $17.38 / $28.18	Professional	26	$11.22	$17.38	$28.18
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $54.95	Professional	TC	$19.95	$28.18	$54.95
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	TC	$77.62	$77.62	$77.62
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $41.69 / $54.95	Professional		$32.36	$41.69	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $40.74 / $87.10	Professional		$29.51	$40.74	$87.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.85 / $30.90	Professional	26	$10.96	$15.85	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $25.12 / $56.23	Professional	TC	$17.78	$25.12	$56.23

California rates for HCPCS 91200