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 $15.14 / $19.95 / $45.71	Facility	26	$15.14	$19.95	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $69.18 / $275.42	Professional		$39.81	$69.18	$275.42
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $13.80 / $91.20 / $125.89	Professional	25	$13.80	$91.20	$125.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $19.95 / $57.54	Professional	26	$9.77	$19.95	$57.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $48.98 / $102.33	Professional	TC	$26.92	$48.98	$102.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $39.81 / $67.61	Professional		$33.11	$39.81	$67.61
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $10.96 / $22.39	Professional	26	$8.91	$10.96	$22.39
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional	TC	$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $79.43 / $147.91	Professional		$56.23	$79.43	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $21.88 / $40.74	Professional	26	$14.13	$21.88	$40.74
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $53.70 / $112.20	Professional	TC	$38.90	$53.70	$112.20
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $141.25	Professional		$58.88	$81.28	$141.25
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $20.89 / $35.48	Professional	26	$15.49	$20.89	$35.48
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $58.88 / $107.15	Professional	TC	$42.66	$58.88	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $75.86 / $131.83	Professional		$48.98	$75.86	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $16.98 / $29.51	Professional	26	$11.48	$16.98	$29.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $57.54 / $102.33	Professional	TC	$35.48	$57.54	$102.33
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $58.88 / $75.86	Professional		$44.67	$58.88	$75.86
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $17.38 / $22.91	Professional	26	$12.02	$17.38	$22.91
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $36.31 / $60.26	Professional	TC	$26.92	$36.31	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $52.48 / $107.15	Professional		$42.66	$52.48	$107.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $12.02 / $20.89	Professional	26	$9.77	$12.02	$20.89
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $46.77 / $74.13	Professional	TC	$34.67	$46.77	$74.13
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 $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional	26	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $245.47 / $269.15	Professional	TC	$245.47	$245.47	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $33.11 / $53.70	Professional		$14.45	$33.11	$53.70
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 $10.72 / $10.72 / $10.72	Facility	26	$10.72	$10.72	$10.72
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $75.86 / $123.03	Professional		$48.98	$75.86	$123.03
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $16.60 / $28.18	Professional	26	$11.22	$16.60	$28.18
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $56.23 / $102.33	Professional	TC	$35.48	$56.23	$102.33
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	26	$42.66	$42.66	$42.66
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	TC	$154.88	$154.88	$154.88
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $77.62 / $123.03	Professional		$47.86	$77.62	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $60.26 / $117.49	Professional		$40.74	$60.26	$117.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $28.84	Professional	26	$9.55	$14.13	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $46.77 / $91.20	Professional	TC	$30.20	$46.77	$91.20

California rates for HCPCS 94060