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 $20.89 / $37.15 / $112.20	Facility	26	$20.89	$37.15	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $41.69 / $147.91	Professional		$32.36	$41.69	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $33.88 / $100.00	Professional	26	$20.89	$33.88	$100.00
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $12.88 / $32.36	Professional	TC	$10.00	$12.88	$32.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $36.31 / $42.66	Professional		$29.51	$36.31	$42.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $22.39 / $46.77	Professional	26	$16.22	$22.39	$46.77
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $95.50	Professional		$38.90	$52.48	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $33.88 / $63.10	Professional	26	$25.12	$33.88	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $18.20 / $32.36	Professional	TC	$13.49	$18.20	$32.36
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $91.20	Professional		$34.67	$46.77	$91.20
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.20 / $58.88	Professional	26	$22.39	$30.20	$58.88
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $16.22 / $32.36	Professional	TC	$12.30	$16.22	$32.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $45.71 / $87.10	Professional		$34.67	$45.71	$87.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.20 / $56.23	Professional	26	$22.91	$30.20	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $15.85 / $30.90	Professional	TC	$11.75	$15.85	$30.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $46.77 / $63.10	Professional		$30.20	$46.77	$63.10
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $26.30 / $35.48	Professional	26	$19.50	$26.30	$35.48
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $19.95 / $26.92	Professional	TC	$10.47	$19.95	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $41.69 / $81.28	Professional		$34.67	$41.69	$81.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $26.30 / $44.67	Professional	26	$21.38	$26.30	$44.67
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $19.95 / $32.36	Professional	TC	$14.79	$19.95	$32.36
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $281.84 / $281.84	Professional		$208.93	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $173.78 / $173.78	Professional	26	$138.04	$173.78	$173.78
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $109.65 / $109.65	Professional	TC	$75.86	$109.65	$109.65
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $32.36 / $47.86	Professional		$16.60	$32.36	$47.86
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $87.10	Professional		$34.67	$46.77	$87.10
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $28.84 / $53.70	Professional	26	$22.39	$28.84	$53.70
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $15.49 / $28.84	Professional	TC	$11.75	$15.49	$28.84
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	26	$74.13	$74.13	$74.13
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $42.66 / $52.48	Professional		$30.20	$42.66	$52.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $37.15 / $75.86	Professional		$26.92	$37.15	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $24.55 / $50.12	Professional	26	$18.20	$24.55	$50.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.71 / $12.30 / $26.30	Professional	TC	$8.71	$12.30	$26.30

California rates for HCPCS 94618