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 $42.66 / $47.86 / $245.47	Facility	26	$42.66	$47.86	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $309.03	Professional		$120.23	$165.96	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $57.54 / $186.21	Professional	26	$38.90	$57.54	$186.21
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $602.56 / $602.56 / $602.56	Professional	50	$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $104.71 / $234.42	Professional	TC	$69.18	$104.71	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $208.93 / $380.19	Professional		$134.90	$208.93	$380.19
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $95.50 / $204.17	Professional	26	$89.13	$95.50	$204.17
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $141.25 / $295.12	Professional		$109.65	$141.25	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $61.66 / $114.82	Professional	26	$39.81	$61.66	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $186.21 / $323.59	Professional	50	$141.25	$186.21	$323.59
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $87.10 / $186.21	Professional	TC	$52.48	$87.10	$186.21
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $177.83 / $346.74	Professional		$120.23	$177.83	$346.74
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $56.23 / $109.65	Professional	26	$38.90	$56.23	$109.65
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $123.03 / $239.88	Professional	TC	$81.28	$123.03	$239.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $46.77 / $67.61	Facility	26	$10.00	$46.77	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $309.03	Professional		$112.20	$162.18	$309.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $57.54 / $109.65	Professional	26	$40.74	$57.54	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $107.15 / $208.93	Professional	TC	$66.07	$107.15	$208.93
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $104.71 / $295.12	Professional		$81.28	$104.71	$295.12
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $51.29 / $69.18	Professional	26	$45.71	$51.29	$69.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $45.71 / $229.09	Professional	TC	$36.31	$45.71	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $204.17 / $338.84	Professional		$158.49	$204.17	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $56.23 / $93.33	Professional	26	$43.65	$56.23	$93.33
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $177.83 / $295.12	Professional	TC	$138.04	$177.83	$295.12
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility	26	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,318.26 / $1,318.26	Professional		$851.14	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $263.03 / $338.84 / $338.84	Professional	26	$263.03	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $630.96 / $977.24 / $977.24	Professional	TC	$630.96	$977.24	$977.24
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $218.78	Professional		$32.36	$58.88	$218.78
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $331.13	Professional		$117.49	$169.82	$331.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $54.95 / $100.00	Professional	26	$39.81	$54.95	$100.00
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $104.71 / $199.53	Professional	TC	$64.57	$104.71	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	26	$141.25	$141.25	$141.25
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Professional	TC	$204.17	$204.17	$204.17
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $169.82 / $245.47	Professional		$97.72	$169.82	$245.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $302.00	Professional		$85.11	$125.89	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $46.77 / $102.33	Professional	26	$33.88	$46.77	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $79.43 / $208.93	Professional	TC	$51.29	$79.43	$208.93

California rates for HCPCS 92235