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 $87.10 / $245.47 / $436.52	Facility		$87.10	$245.47	$436.52
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $23.99 / $117.49	Facility	26	$21.88	$23.99	$117.49
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $64.57 / $323.59 / $575.44	Facility	TC	$64.57	$323.59	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $74.13 / $147.91	Professional		$36.31	$74.13	$147.91
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	25	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $30.20 / $93.33	Professional	26	$19.05	$30.20	$93.33
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $89.13 / $234.42 / $436.52	Professional	50	$89.13	$234.42	$436.52
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $41.69 / $229.09	Professional	52	$38.02	$41.69	$229.09
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $53.70 / $104.71	Professional	TC	$14.79	$53.70	$104.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $36.31 / $83.18	Professional		$30.20	$36.31	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $25.12 / $48.98	Professional	26	$18.20	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $41.69 / $41.69 / $48.98	Professional	50	$41.69	$41.69	$48.98
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $7.76 / $7.76 / $7.76	Professional	52	$7.76	$7.76	$7.76
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $21.38 / $26.30	Professional	TC	$21.38	$21.38	$26.30
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $75.86 / $144.54	Professional		$48.98	$75.86	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $33.88 / $63.10	Professional	26	$20.89	$33.88	$63.10
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $43.65 / $66.07 / $120.23	Professional	50	$43.65	$66.07	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $45.71 / $89.13	Professional	TC	$14.13	$45.71	$89.13
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $323.59 / $630.96	Facility		$75.86	$323.59	$630.96
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $100.00 / $181.97	Professional		$67.61	$100.00	$181.97
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.20 / $57.54	Professional	26	$20.89	$30.20	$57.54
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $69.18 / $123.03	Professional	TC	$47.86	$69.18	$123.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.01 / $22.91 / $33.11	Facility	26	$5.01	$22.91	$33.11
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	TC	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $83.18 / $141.25	Professional		$41.69	$83.18	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $28.84 / $53.70	Professional	26	$20.89	$28.84	$53.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $53.70 / $91.20	Professional	TC	$19.50	$53.70	$91.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $47.86 / $64.57	Professional		$41.69	$47.86	$64.57
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.11 / $33.88	Professional	26	$24.55	$33.11	$33.88
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $13.80 / $31.62	Professional	TC	$9.33	$13.80	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $77.62	Professional		$35.48	$44.67	$77.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $27.54 / $43.65	Professional	26	$20.89	$27.54	$43.65
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $24.55 / $43.65	Professional	TC	$19.05	$24.55	$43.65
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility	TC	$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $162.18 / $162.18	Professional	26	$131.83	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $33.11 / $70.79	Professional		$28.84	$33.11	$70.79
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $64.57 / $125.89	Facility		$37.15	$64.57	$125.89
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility	TC	$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $83.18 / $128.82	Professional		$41.69	$83.18	$128.82
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $28.18 / $50.12	Professional	26	$20.42	$28.18	$50.12
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $54.95 / $93.33	Professional	TC	$18.62	$54.95	$93.33
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	TC	$79.43	$79.43	$79.43
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $63.10 / $102.33	Professional		$38.90	$63.10	$102.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $218.78 / $338.84	Facility		$33.88	$218.78	$338.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $61.66 / $117.49	Professional		$36.31	$61.66	$117.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $50.12	Professional	26	$16.98	$23.99	$50.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $35.48 / $72.44	Professional	TC	$18.62	$35.48	$72.44

California rates for HCPCS 92250