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 $158.49 / $870.96 / $1,995.26	Facility		$158.49	$870.96	$1,995.26
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $30.20 / $42.66	Facility	26	$21.88	$30.20	$42.66
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $138.04 / $501.19 / $1,122.02	Facility	TC	$138.04	$501.19	$1,122.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $134.90 / $549.54	Professional		$27.54	$134.90	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $31.62 / $95.50	Professional	26	$19.95	$31.62	$95.50
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $128.82 / $331.13	Professional	TC	$91.20	$128.82	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $120.23 / $213.80	Professional		$97.72	$120.23	$213.80
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $21.38 / $47.86	Professional	26	$17.38	$21.38	$47.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $89.13 / $218.78	Professional	TC	$53.70	$89.13	$218.78
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $26.30 / $26.92	Facility		$23.44	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $190.55 / $346.74	Professional		$125.89	$190.55	$346.74
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $33.88 / $61.66	Professional	26	$23.44	$33.88	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $158.49 / $288.40	Professional	TC	$104.71	$158.49	$288.40
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $549.54 / $1,202.26	Facility		$85.11	$549.54	$1,202.26
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $223.87 / $446.68	Professional		$151.36	$223.87	$446.68
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.90 / $72.44	Professional	26	$27.54	$38.90	$72.44
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $186.21 / $371.54	Professional	TC	$125.89	$186.21	$371.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $363.08 / $6,165.95	Facility		$194.98	$363.08	$6,165.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.13 / $23.99 / $33.88	Facility	26	$5.13	$23.99	$33.88
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $104.71 / $151.36	Facility	TC	$22.91	$104.71	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $186.21 / $331.13	Professional		$117.49	$186.21	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $29.51 / $54.95	Professional	26	$21.88	$29.51	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $162.18 / $288.40	Professional	TC	$102.33	$162.18	$288.40
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $107.15 / $213.80	Professional		$81.28	$107.15	$213.80
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.98 / $30.90	Professional	26	$12.88	$16.98	$30.90
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $89.13 / $181.97	Professional	TC	$67.61	$89.13	$181.97
HealthNet Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	26	$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $144.54 / $257.04	Professional		$112.20	$144.54	$257.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $27.54 / $48.98	Professional	26	$20.42	$27.54	$48.98
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $151.36 / $257.04	Professional	TC	$104.71	$151.36	$257.04
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility	26	$131.83	$131.83	$131.83
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility	TC	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $1,000.00 / $1,071.52	Professional		$199.53	$1,000.00	$1,071.52
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	26	$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $831.76 / $831.76 / $954.99	Professional	TC	$831.76	$831.76	$954.99
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $33.11 / $162.18	Professional		$30.20	$33.11	$162.18
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 Typical Low / Median / Typical High $123.03 / $173.78 / $323.59	Facility		$123.03	$173.78	$323.59
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	TC	$117.49	$117.49	$117.49
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $194.98 / $323.59	Professional		$117.49	$194.98	$323.59
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $28.18 / $52.48	Professional	26	$21.38	$28.18	$52.48
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $158.49 / $275.42	Professional	TC	$100.00	$158.49	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Professional	TC	$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $162.18 / $229.09	Professional		$102.33	$162.18	$229.09
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $204.17 / $263.03	Facility		$114.82	$204.17	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $354.81	Professional		$97.72	$158.49	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $26.30 / $74.13	Professional	26	$18.20	$26.30	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $131.83 / $295.12	Professional	TC	$81.28	$131.83	$295.12

California rates for HCPCS 93971