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 $25.70 / $28.84 / $151.36	Facility	26	$25.70	$28.84	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $269.15	Professional		$57.54	$77.62	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $45.71 / $112.20	Professional	26	$26.30	$45.71	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $37.15 / $95.50	Professional	TC	$30.20	$37.15	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $53.70 / $125.89	Professional		$34.67	$53.70	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $28.84 / $57.54	Professional	26	$27.54	$28.84	$57.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $91.20 / $169.82	Professional		$60.26	$91.20	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $41.69 / $75.86	Professional	26	$28.84	$41.69	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $47.86 / $100.00	Professional	TC	$30.90	$47.86	$100.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $165.96	Professional		$63.10	$83.18	$165.96
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $42.66 / $77.62	Professional	26	$30.90	$42.66	$77.62
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $41.69 / $81.28	Professional	TC	$29.51	$41.69	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $204.17	Professional		$63.10	$85.11	$204.17
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $37.15 / $69.18	Professional	26	$28.18	$37.15	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $45.71 / $128.82	Professional	TC	$33.11	$45.71	$128.82
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $100.00 / $123.03	Professional		$91.20	$100.00	$123.03
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $36.31 / $44.67	Professional	26	$33.11	$36.31	$44.67
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $63.10 / $77.62	Professional	TC	$57.54	$63.10	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $162.18	Professional		$67.61	$81.28	$162.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $33.11 / $53.70	Professional	26	$27.54	$33.11	$53.70
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $57.54 / $89.13	Professional	TC	$42.66	$57.54	$89.13
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Professional	26	$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	TC	$588.84	$588.84	$588.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.90 / $87.10	Professional		$32.36	$38.90	$87.10
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 $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $186.21	Professional		$63.10	$87.10	$186.21
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $66.07	Professional	26	$28.18	$36.31	$66.07
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $45.71 / $128.82	Professional	TC	$33.11	$45.71	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	TC	$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $138.04	Professional		$47.86	$64.57	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $60.26	Professional	26	$22.91	$30.90	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.88 / $74.13	Professional	TC	$24.55	$33.88	$74.13

California rates for HCPCS 94070