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 Professional Modifier Typical Low / Median / Typical High $25.70 / $33.11 / $95.50	Professional		$25.70	$33.11	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $23.99 / $39.81	Professional	26	$16.22	$23.99	$39.81
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	52	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $34.67	Professional	TC	$3.02	$3.98	$34.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $66.07 / $134.90	Professional		$32.36	$66.07	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $29.51 / $81.28	Professional	26	$17.78	$29.51	$81.28
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.90 / $35.48 / $77.62	Professional	TC	$4.90	$35.48	$77.62
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $102.33	Professional		$50.12	$67.61	$102.33
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $21.38 / $37.15	Professional	26	$17.78	$21.38	$37.15
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $45.71 / $66.07	Professional	TC	$28.84	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $45.71 / $102.33	Professional		$24.55	$45.71	$102.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $26.92 / $70.79	Professional	26	$17.78	$26.92	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.74 / $6.92 / $50.12	Professional	TC	$1.74	$6.92	$50.12
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $17.78 / $38.02	Professional		$13.49	$17.78	$38.02
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $7.08 / $32.36	Professional	26	$5.37	$7.08	$32.36
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.37 / $8.32 / $12.59	Professional	TC	$5.37	$8.32	$12.59
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $30.90 / $53.70	Professional		$24.55	$30.90	$53.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.30 / $31.62	Professional	26	$22.91	$26.30	$31.62
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.80 / $4.79 / $5.37	Professional	TC	$3.80	$4.79	$5.37
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $323.59	Professional		$316.23	$316.23	$323.59
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $199.53 / $199.53	Professional	26	$154.88	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $218.78 / $223.87	Professional	TC	$218.78	$218.78	$223.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $34.67 / $40.74	Professional		$5.89	$34.67	$40.74
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $46.77 / $89.13	Professional		$24.55	$46.77	$89.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $26.92 / $66.07	Professional	26	$17.78	$26.92	$66.07
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1.70 / $6.61 / $50.12	Professional	TC	$1.70	$6.61	$50.12
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Professional	TC	$13.80	$13.80	$13.80
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $38.90	Professional		$31.62	$31.62	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $33.11 / $72.44	Professional		$21.88	$33.11	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $47.86	Professional	26	$15.14	$21.38	$47.86
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.88 / $5.01 / $38.90	Professional	TC	$2.88	$5.01	$38.90

California rates for HCPCS 92542