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 $28.84 / $138.04 / $239.88	Facility		$28.84	$138.04	$239.88
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $3.98 / $16.60	Facility	26	$3.02	$3.98	$16.60
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.90 / $85.11	Professional		$20.42	$30.90	$85.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $4.27 / $16.60	Professional	26	$2.00	$4.27	$16.60
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $69.18 / $77.62 / $229.09	Professional	50	$69.18	$77.62	$229.09
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.60 / $36.31 / $41.69	Professional	52	$16.60	$36.31	$41.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $25.70 / $57.54	Professional	TC	$15.85	$25.70	$57.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $25.12 / $57.54	Professional		$20.42	$25.12	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $7.24 / $7.59	Professional	26	$6.76	$7.24	$7.59
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $11.48 / $11.48	Facility		$10.00	$11.48	$11.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $50.12 / $81.28	Professional		$27.54	$50.12	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.68 / $13.18 / $45.71	Professional	26	$4.68	$13.18	$45.71
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $27.54 / $37.15 / $75.86	Professional	50	$27.54	$37.15	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $29.51 / $63.10	Professional	TC	$12.88	$29.51	$63.10
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $190.55 / $407.38	Facility		$70.79	$190.55	$407.38
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $60.26 / $109.65	Professional		$41.69	$60.26	$109.65
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $13.49 / $22.91	Professional	26	$8.91	$13.49	$22.91
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $46.77 / $85.11	Professional	TC	$31.62	$46.77	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.72 / $3.39 / $4.79	Facility	26	$0.72	$3.39	$4.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $38.90 / $69.18	Professional		$21.38	$38.90	$69.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.16 / $5.50 / $13.80	Professional	26	$3.16	$5.50	$13.80
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $31.62 / $57.54	Professional	TC	$18.62	$31.62	$57.54
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $35.48 / $43.65	Professional		$32.36	$35.48	$43.65
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.39 / $3.72 / $4.57	Professional	26	$3.39	$3.72	$4.57
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $31.62 / $38.90	Professional	TC	$28.84	$31.62	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $29.51 / $50.12	Professional		$23.44	$29.51	$50.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $3.89 / $6.31	Professional	26	$2.95	$3.89	$6.31
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $30.20 / $51.29	Professional	TC	$23.44	$30.20	$51.29
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	TC	$263.03	$263.03	$263.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $34.67 / $66.07	Facility		$21.88	$34.67	$66.07
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.16 / $3.16 / $3.16	Facility	26	$3.16	$3.16	$3.16
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $41.69 / $63.10	Professional		$22.39	$41.69	$63.10
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.09 / $5.50 / $14.45	Professional	26	$3.09	$5.50	$14.45
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $31.62 / $52.48	Professional	TC	$18.62	$31.62	$52.48
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Professional	26	$10.00	$10.00	$10.00
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	TC	$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $61.66 / $93.33	Facility		$23.44	$61.66	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $30.20 / $70.79	Professional		$17.78	$30.20	$70.79
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.57 / $4.37 / $13.80	Professional	26	$2.57	$4.37	$13.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $24.55 / $52.48	Professional	TC	$15.14	$24.55	$52.48

California rates for HCPCS 92285