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 / $12.30 / $40.74	Facility	26	$7.08	$12.30	$40.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $45.71 / $158.49	Professional		$26.92	$45.71	$158.49
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $37.15 / $46.77 / $67.61	Professional	25	$37.15	$46.77	$67.61
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $13.49 / $35.48	Professional	26	$7.76	$13.49	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $29.51 / $72.44	Professional	TC	$19.05	$29.51	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $41.69	Professional		$23.44	$27.54	$41.69
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $10.00 / $19.50	Professional	26	$7.24	$10.00	$19.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $46.77 / $89.13	Professional		$32.36	$46.77	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $12.88 / $29.51	Professional	26	$8.32	$12.88	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $64.57	Professional	TC	$21.88	$30.20	$64.57
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $48.98 / $89.13	Professional		$35.48	$48.98	$89.13
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.02 / $22.39	Professional	26	$8.91	$12.02	$22.39
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $37.15 / $66.07	Professional	TC	$26.30	$37.15	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $45.71 / $83.18	Professional		$31.62	$45.71	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.72 / $20.89	Professional	26	$8.32	$10.72	$20.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $60.26	Professional	TC	$22.91	$34.67	$60.26
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $33.11 / $51.29	Professional		$24.55	$33.11	$51.29
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.77 / $13.18	Professional	26	$9.55	$9.77	$13.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $19.95 / $38.90	Professional	TC	$14.79	$19.95	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $35.48 / $69.18	Professional		$28.84	$35.48	$69.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $9.55 / $16.22	Professional	26	$7.94	$9.55	$16.22
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $29.51 / $47.86	Professional	TC	$22.39	$29.51	$47.86
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $398.11 / $398.11	Professional		$36.31	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $165.96 / $165.96	Professional	TC	$138.04	$165.96	$165.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $32.36 / $38.02	Professional		$11.48	$32.36	$38.02
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $70.79	Professional		$30.90	$39.81	$70.79
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $8.51 / $8.51	Facility	26	$8.51	$8.51	$8.51
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $46.77 / $77.62	Professional		$31.62	$46.77	$77.62
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.47 / $19.50	Professional	26	$8.32	$10.47	$19.50
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.88 / $58.88	Professional	TC	$22.91	$33.88	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	TC	$91.20	$91.20	$91.20
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $44.67 / $67.61	Professional		$28.18	$44.67	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $37.15 / $81.28	Professional		$25.70	$37.15	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $8.91 / $19.50	Professional	26	$6.61	$8.91	$19.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $27.54 / $54.95	Professional	TC	$19.05	$27.54	$54.95

California rates for HCPCS 94010