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 Typical Low / Median / Typical High $100.00 / $295.12 / $575.44	Facility		$100.00	$295.12	$575.44
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $30.90 / $177.83	Facility	26	$28.18	$30.90	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $81.28 / $204.17	Professional		$41.69	$81.28	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $95.50	Professional	26	$28.18	$36.31	$95.50
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $125.89 / $398.11	Professional	50	$54.95	$125.89	$398.11
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $22.39 / $37.15 / $40.74	Professional	52	$22.39	$37.15	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $52.48 / $128.82	Professional	TC	$15.85	$52.48	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $46.77 / $112.20	Professional		$38.90	$46.77	$112.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.20 / $107.15	Professional	26	$25.12	$30.20	$107.15
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $16.60 / $19.05	Professional	TC	$14.79	$16.60	$19.05
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $30.20 / $30.20	Facility		$26.30	$30.20	$30.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $186.21	Professional		$70.79	$97.72	$186.21
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $37.15 / $79.43	Professional	26	$26.92	$37.15	$79.43
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $102.33 / $245.47	Professional	50	$74.13	$102.33	$245.47
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $61.66 / $109.65	Professional	TC	$42.66	$61.66	$109.65
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $323.59 / $645.65	Facility		$85.11	$323.59	$645.65
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $199.53	Professional		$70.79	$107.15	$199.53
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.90 / $79.43	Professional	26	$26.30	$38.90	$79.43
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $67.61 / $120.23	Professional	TC	$44.67	$67.61	$120.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $33.88 / $47.86	Facility	26	$7.24	$33.88	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $97.72 / $165.96	Professional		$51.29	$97.72	$165.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.90 / $77.62	Professional	26	$28.18	$38.90	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $63.10 / $104.71	Professional	TC	$22.39	$63.10	$104.71
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $67.61 / $83.18	Professional		$61.66	$67.61	$83.18
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $36.31 / $48.98	Professional	26	$22.91	$36.31	$48.98
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.88 / $53.70	Professional	TC	$25.12	$33.88	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $58.88 / $104.71	Professional		$45.71	$58.88	$104.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $74.13	Professional	26	$31.62	$43.65	$74.13
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $48.98	Professional	TC	$19.95	$28.18	$48.98
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	26	$190.55	$190.55	$190.55
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $239.88 / $239.88	Professional	26	$190.55	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $42.66 / $81.28	Professional		$32.36	$42.66	$81.28
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $87.10 / $151.36	Facility		$50.12	$87.10	$151.36
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $97.72 / $158.49	Professional		$51.29	$97.72	$158.49
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $37.15 / $74.13	Professional	26	$27.54	$37.15	$74.13
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $63.10 / $104.71	Professional	TC	$21.88	$63.10	$104.71
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
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 $104.71 / $104.71 / $104.71	Professional	TC	$104.71	$104.71	$104.71
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $69.18 / $114.82	Professional		$50.12	$69.18	$114.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $257.04 / $338.84	Facility		$48.98	$257.04	$338.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $75.86 / $141.25	Professional		$47.86	$75.86	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $32.36 / $69.18	Professional	26	$22.91	$32.36	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $42.66 / $83.18	Professional	TC	$21.38	$42.66	$83.18

California rates for HCPCS 92136