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 $12.88 / $16.98 / $79.43	Facility	26	$12.88	$16.98	$79.43
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $165.96	Professional		$36.31	$45.71	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.05 / $58.88	Professional	26	$12.88	$19.05	$58.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $66.07	Professional	TC	$21.88	$26.92	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $39.81 / $46.77	Professional		$36.31	$39.81	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $14.13 / $31.62	Professional	26	$11.75	$14.13	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $50.12 / $100.00	Professional		$38.02	$50.12	$100.00
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $21.38 / $38.02	Professional	26	$14.45	$21.38	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $28.18 / $58.88	Professional	TC	$22.39	$28.18	$58.88
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $100.00	Professional		$38.90	$52.48	$100.00
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.88 / $39.81	Professional	26	$15.85	$21.88	$39.81
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.90 / $58.88	Professional	TC	$21.88	$30.90	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $51.29 / $102.33	Professional		$38.02	$51.29	$102.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.05 / $36.31	Professional	26	$14.45	$19.05	$36.31
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $32.36 / $64.57	Professional	TC	$23.99	$32.36	$64.57
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $35.48 / $72.44	Professional		$23.44	$35.48	$72.44
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $14.13 / $21.88	Professional	26	$9.33	$14.13	$21.88
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $21.38 / $50.12	Professional	TC	$13.80	$21.38	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $50.12 / $87.10	Professional		$40.74	$50.12	$87.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $16.60 / $28.18	Professional	26	$13.80	$16.60	$28.18
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.90 / $61.66	Professional	TC	$28.84	$38.90	$61.66
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 $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $112.20 / $112.20	Professional	26	$89.13	$112.20	$112.20
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $213.80 / $213.80	Professional	TC	$199.53	$213.80	$213.80
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $33.11 / $53.70	Professional		$20.42	$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 $14.79 / $14.79 / $14.79	Facility	26	$14.79	$14.79	$14.79
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $102.33	Professional		$38.90	$52.48	$102.33
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $18.62 / $33.11	Professional	26	$14.45	$18.62	$33.11
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $31.62 / $60.26	Professional	TC	$23.44	$31.62	$60.26
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	26	$47.86	$47.86	$47.86
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	TC	$81.28	$81.28	$81.28
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $46.77 / $63.10	Professional		$29.51	$46.77	$63.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $41.69 / $85.11	Professional		$30.90	$41.69	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.49 / $32.36	Professional	26	$11.48	$15.49	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $25.70 / $54.95	Professional	TC	$18.62	$25.70	$54.95

California rates for HCPCS 94375