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 $52.48 / $58.88 / $316.23	Facility	26	$52.48	$58.88	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $288.40 / $1,000.00	Professional		$223.87	$288.40	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $58.88 / $162.18	Professional	26	$45.71	$58.88	$162.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $416.87 / $691.83	Professional		$295.12	$416.87	$691.83
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $97.72 / $154.88	Professional	26	$67.61	$97.72	$154.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $354.81 / $707.95	Professional		$245.47	$354.81	$707.95
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $83.18 / $154.88	Professional	26	$58.88	$83.18	$154.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $323.59 / $630.96	Professional		$234.42	$323.59	$630.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $138.04	Professional	26	$53.70	$72.44	$138.04
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $467.74 / $630.96	Professional		$208.93	$467.74	$630.96
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $64.57 / $87.10	Professional	26	$47.86	$64.57	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $416.87 / $691.83	Professional		$331.13	$416.87	$691.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $72.44 / $123.03	Professional	26	$56.23	$72.44	$123.03
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility	26	$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,754.23 / $2,754.23	Professional		$1,737.80	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $338.84 / $436.52 / $436.52	Professional	26	$338.84	$436.52	$436.52
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $75.86 / $380.19	Professional		$32.36	$75.86	$380.19
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $338.84 / $660.69	Professional		$239.88	$338.84	$660.69
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $125.89	Professional	26	$52.48	$70.79	$125.89
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional	26	$177.83	$177.83	$177.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $354.81 / $426.58	Professional		$208.93	$354.81	$426.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $269.15 / $630.96	Professional		$186.21	$269.15	$630.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $60.26 / $125.89	Professional	26	$42.66	$60.26	$125.89

California rates for HCPCS 92242