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 $5.01 / $5.01 / $14.13	Facility	26	$5.01	$5.01	$14.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $24.55 / $54.95	Professional		$14.13	$24.55	$54.95
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $5.01 / $14.13	Professional	26	$2.00	$5.01	$14.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $19.50 / $41.69	Professional	TC	$10.96	$19.50	$41.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $14.79 / $16.22	Professional		$13.80	$14.79	$16.22
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $2.69 / $2.69	Professional	26	$2.69	$2.69	$2.69
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $27.54 / $56.23	Professional		$21.38	$27.54	$56.23
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.13 / $7.94 / $14.79	Professional	26	$5.13	$7.94	$14.79
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $19.95 / $42.66	Professional	TC	$12.59	$19.95	$42.66
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $32.36 / $56.23	Professional		$23.44	$32.36	$56.23
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $7.59 / $12.59	Professional	26	$5.37	$7.59	$12.59
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $24.55 / $43.65	Professional	TC	$17.78	$24.55	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $29.51 / $52.48	Professional		$18.62	$29.51	$52.48
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.31 / $6.17 / $10.72	Professional	26	$3.31	$6.17	$10.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $23.44 / $42.66	Professional	TC	$14.79	$23.44	$42.66
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $21.88 / $29.51	Professional		$16.22	$21.88	$29.51
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $6.61 / $8.32	Professional	26	$2.88	$6.61	$8.32
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.77 / $15.14 / $24.55	Professional	TC	$9.77	$15.14	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.50 / $37.15	Professional		$15.85	$19.50	$37.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.40 / $2.95 / $5.13	Professional	26	$2.40	$2.95	$5.13
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $19.05 / $30.20	Professional	TC	$14.13	$19.05	$30.20
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 $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $36.31	Professional	26	$34.67	$34.67	$36.31
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	TC	$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $21.38 / $33.11	Professional		$5.62	$21.38	$33.11
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 $2.75 / $2.75 / $2.75	Facility	26	$2.75	$2.75	$2.75
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $29.51 / $50.12	Professional		$18.62	$29.51	$50.12
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.24 / $6.17 / $10.47	Professional	26	$3.24	$6.17	$10.47
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $22.91 / $42.66	Professional	TC	$14.45	$22.91	$42.66
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Professional	26	$14.79	$14.79	$14.79
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Professional	TC	$58.88	$58.88	$58.88
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $30.90 / $44.67	Professional		$17.78	$30.90	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $23.44 / $45.71	Professional		$15.85	$23.44	$45.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $5.13 / $9.33	Professional	26	$2.82	$5.13	$9.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $18.62 / $37.15	Professional	TC	$12.30	$18.62	$37.15

California rates for HCPCS 94200