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 $3.02 / $5.13 / $7.41	Facility	26	$3.02	$5.13	$7.41
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $51.29 / $158.49	Professional		$23.99	$51.29	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $5.50 / $15.49	Professional	26	$2.95	$5.50	$15.49
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $3.47 / $3.47 / $11.48	Professional	52	$3.47	$3.47	$11.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $33.88 / $95.50	Professional	TC	$19.95	$33.88	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $25.70 / $57.54	Professional		$20.42	$25.70	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $4.90 / $8.32	Professional	26	$2.69	$4.90	$8.32
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $21.38 / $38.90	Professional	TC	$17.78	$21.38	$38.90
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $93.33 / $194.98	Professional		$42.66	$93.33	$194.98
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.57 / $6.31 / $10.00	Professional	26	$4.57	$6.31	$10.00
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $85.11 / $181.97	Professional	TC	$37.15	$85.11	$181.97
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $112.20	Professional		$39.81	$60.26	$112.20
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $5.62 / $10.72	Professional	26	$3.89	$5.62	$10.72
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $53.70 / $100.00	Professional	TC	$36.31	$53.70	$100.00
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.74 / $3.47 / $4.90	Facility	26	$0.74	$3.47	$4.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $44.67 / $144.54	Professional		$25.12	$44.67	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.39 / $4.79 / $8.51	Professional	26	$3.39	$4.79	$8.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $43.65 / $138.04	Professional	TC	$23.99	$43.65	$138.04
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $77.62 / $97.72	Professional		$32.36	$77.62	$97.72
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.34 / $3.55 / $5.37	Professional	26	$2.34	$3.55	$5.37
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $75.86 / $95.50	Professional	TC	$28.84	$75.86	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $29.51 / $69.18	Professional		$23.44	$29.51	$69.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.47 / $4.68 / $8.32	Professional	26	$3.47	$4.68	$8.32
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $32.36 / $64.57	Professional	TC	$22.91	$32.36	$64.57
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $138.04	Facility	26	$100.00	$100.00	$138.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $724.44	Professional		$602.56	$602.56	$724.44
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $181.97 / $288.40	Professional	26	$181.97	$181.97	$288.40
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Professional	TC	$676.08	$676.08	$676.08
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $31.62 / $33.11	Professional		$4.37	$31.62	$33.11
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 $3.24 / $3.24 / $3.24	Facility	26	$3.24	$3.24	$3.24
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $45.71 / $131.83	Professional		$25.12	$45.71	$131.83
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.39 / $4.57 / $7.76	Professional	26	$3.39	$4.57	$7.76
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $44.67 / $138.04	Professional	TC	$23.99	$44.67	$138.04
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	26	$10.47	$10.47	$10.47
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $147.91 / $239.88	Professional		$26.92	$147.91	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $38.02 / $112.20	Professional		$20.42	$38.02	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $4.07 / $8.51	Professional	26	$2.69	$4.07	$8.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.90 / $102.33	Professional	TC	$17.78	$30.90	$102.33

California rates for HCPCS 93325