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 $83.18 / $125.89 / $186.21	Facility	26	$83.18	$125.89	$186.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $371.54 / $1,258.93	Professional		$245.47	$371.54	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $114.82 / $363.08	Professional	26	$54.95	$114.82	$363.08
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $239.88 / $616.60	Professional	TC	$162.18	$239.88	$616.60
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $309.03 / $602.56	Professional		$173.78	$309.03	$602.56
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $77.62 / $114.82	Professional	26	$46.77	$77.62	$114.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional	TC	$457.09	$457.09	$457.09
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $389.05 / $776.25	Professional		$269.15	$389.05	$776.25
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $114.82 / $194.98	Professional	26	$83.18	$114.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $269.15 / $562.34	Professional	TC	$177.83	$269.15	$562.34
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $457.09 / $912.01	Professional		$309.03	$457.09	$912.01
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $154.88 / $275.42	Professional	26	$109.65	$154.88	$275.42
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $302.00 / $616.60	Professional	TC	$199.53	$302.00	$616.60
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $61.66 / $89.13	Facility	26	$13.18	$61.66	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $426.58 / $741.31	Professional		$275.42	$426.58	$741.31
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $97.72 / $158.49	Professional	26	$58.88	$97.72	$158.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $346.74 / $616.60	Professional	TC	$218.78	$346.74	$616.60
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $239.88 / $467.74	Professional		$181.97	$239.88	$467.74
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $66.07 / $83.18	Professional	26	$60.26	$66.07	$83.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $154.88 / $389.05	Professional	TC	$117.49	$154.88	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $323.59 / $588.84	Professional		$251.19	$323.59	$588.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $125.89	Professional	26	$53.70	$72.44	$125.89
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $323.59 / $549.54	Professional	TC	$223.87	$323.59	$549.54
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $2,454.71	Professional		$2,187.76	$2,187.76	$2,454.71
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $478.63 / $478.63 / $524.81	Professional	26	$478.63	$478.63	$524.81
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,905.46	Professional	TC	$1,737.80	$1,737.80	$1,905.46
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $79.43 / $363.08	Professional		$32.36	$79.43	$363.08
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 $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $457.09 / $724.44	Professional		$275.42	$457.09	$724.44
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $95.50 / $147.91	Professional	26	$56.23	$95.50	$147.91
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $338.84 / $588.84	Professional	TC	$213.80	$338.84	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Professional	26	$186.21	$186.21	$186.21
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Professional	TC	$741.31	$741.31	$741.31
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $354.81 / $512.86	Professional		$223.87	$354.81	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $363.08 / $758.58	Professional		$223.87	$363.08	$758.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $85.11 / $165.96	Professional	26	$48.98	$85.11	$165.96
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $281.84 / $588.84	Professional	TC	$173.78	$281.84	$588.84

California rates for HCPCS 93975