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 $7.08 / $10.96 / $24.55	Facility	26	$7.08	$10.96	$24.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $48.98 / $147.91	Professional		$26.92	$48.98	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $12.88 / $36.31	Professional	26	$6.76	$12.88	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $69.18	Professional	TC	$16.98	$23.99	$69.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $26.30 / $58.88	Professional		$20.42	$26.30	$58.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $13.18 / $19.05	Professional	26	$7.08	$13.18	$19.05
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	TC	$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $66.07 / $104.71	Professional		$39.81	$66.07	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.49 / $23.44	Professional	26	$10.72	$15.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $50.12 / $83.18	Professional	TC	$29.51	$50.12	$83.18
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $48.98 / $95.50	Professional		$32.36	$48.98	$95.50
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $12.30 / $23.44	Professional	26	$8.32	$12.30	$23.44
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $36.31 / $72.44	Professional	TC	$23.99	$36.31	$72.44
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.74 / $8.13 / $11.48	Facility	26	$1.74	$8.13	$11.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $42.66 / $81.28	Professional		$26.92	$42.66	$81.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.23 / $19.05	Professional	26	$7.59	$10.23	$19.05
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.88 / $66.07	Professional	TC	$20.89	$33.88	$66.07
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $38.90 / $48.98	Professional		$33.88	$38.90	$48.98
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $15.49 / $19.95	Professional	26	$8.51	$15.49	$19.95
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $28.18 / $34.67	Professional	TC	$23.44	$28.18	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $30.90 / $93.33	Professional		$24.55	$30.90	$93.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.23 / $17.78	Professional	26	$7.41	$10.23	$17.78
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $48.98	Professional	TC	$20.42	$28.84	$48.98
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $104.71 / $104.71	Facility	26	$100.00	$104.71	$104.71
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $229.09	Professional	26	$154.88	$154.88	$229.09
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $32.36 / $33.88	Professional		$10.23	$32.36	$33.88
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $7.41 / $7.41	Facility	26	$7.41	$7.41	$7.41
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $46.77 / $74.13	Professional		$26.92	$46.77	$74.13
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.00 / $17.78	Professional	26	$7.59	$10.00	$17.78
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $33.88 / $64.57	Professional	TC	$20.42	$33.88	$64.57
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	26	$23.99	$23.99	$23.99
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $74.13 / $120.23	Professional		$28.84	$74.13	$120.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $35.48 / $72.44	Professional		$21.88	$35.48	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.91 / $18.62	Professional	26	$6.03	$8.91	$18.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $25.12 / $54.95	Professional	TC	$15.49	$25.12	$54.95

California rates for HCPCS 93321