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 $14.13 / $18.62 / $125.89	Facility	26	$14.13	$18.62	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $147.91 / $501.19	Professional		$67.61	$147.91	$501.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $30.20 / $75.86	Professional	26	$15.14	$30.20	$75.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $114.82 / $295.12	Professional	TC	$93.33	$114.82	$295.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $223.87 / $234.42	Professional		$173.78	$223.87	$234.42
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $33.88 / $63.10	Professional	26	$22.39	$33.88	$63.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $181.97 / $354.81	Professional		$123.03	$181.97	$354.81
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $26.30 / $57.54	Professional	26	$17.38	$26.30	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $154.88 / $302.00	Professional	TC	$107.15	$154.88	$302.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $251.19 / $478.63	Professional		$165.96	$251.19	$478.63
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.70 / $53.70	Professional	26	$17.78	$25.70	$53.70
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $223.87 / $426.58	Professional	TC	$147.91	$223.87	$426.58
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $194.98 / $338.84	Professional		$125.89	$194.98	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $26.30 / $57.54	Professional	26	$16.60	$26.30	$57.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $169.82 / $302.00	Professional	TC	$107.15	$169.82	$302.00
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $104.71 / $218.78	Professional		$79.43	$104.71	$218.78
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $21.88 / $33.88	Professional	26	$16.60	$21.88	$33.88
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $83.18 / $186.21	Professional	TC	$63.10	$83.18	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $316.23	Professional		$117.49	$151.36	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.20 / $53.70	Professional	26	$22.91	$30.20	$53.70
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $154.88 / $263.03	Professional	TC	$107.15	$154.88	$263.03
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,047.13	Professional		$1,023.29	$1,023.29	$1,047.13
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	26	$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $851.14 / $851.14 / $954.99	Professional	TC	$851.14	$851.14	$954.99
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.88 / $169.82	Professional		$32.36	$33.88	$169.82
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 $23.99 / $23.99 / $23.99	Facility	26	$23.99	$23.99	$23.99
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $204.17 / $338.84	Professional		$125.89	$204.17	$338.84
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $24.55 / $53.70	Professional	26	$16.22	$24.55	$53.70
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $165.96 / $288.40	Professional	TC	$107.15	$165.96	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $158.49 / $223.87	Professional		$100.00	$158.49	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $162.18 / $309.03	Professional		$104.71	$162.18	$309.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $25.12 / $58.88	Professional	26	$14.79	$25.12	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $138.04 / $263.03	Professional	TC	$87.10	$138.04	$263.03

California rates for HCPCS 93931