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 $12.02 / $17.38 / $25.12	Facility	26	$12.02	$17.38	$25.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $66.07 / $257.04	Professional		$51.29	$66.07	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $20.42 / $57.54	Professional	26	$11.22	$20.42	$57.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $50.12 / $114.82	Professional	TC	$38.90	$50.12	$114.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $61.66 / $89.13	Professional		$47.86	$61.66	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $15.49 / $30.90	Professional	26	$10.23	$15.49	$30.90
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Professional	52	$13.80	$13.80	$13.80
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	TC	$117.49	$117.49	$117.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $74.13 / $151.36	Professional		$56.23	$74.13	$151.36
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.49 / $30.90	Professional	26	$11.48	$15.49	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $58.88 / $117.49	Professional	TC	$44.67	$58.88	$117.49
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $147.91	Professional		$57.54	$75.86	$147.91
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.22 / $30.20	Professional	26	$12.02	$16.22	$30.20
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $58.88 / $114.82	Professional	TC	$44.67	$58.88	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $141.25	Professional		$57.54	$75.86	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.22 / $30.20	Professional	26	$12.59	$16.22	$30.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $58.88 / $112.20	Professional	TC	$44.67	$58.88	$112.20
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $87.10 / $117.49	Professional		$47.86	$87.10	$117.49
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.13 / $19.05	Professional	26	$10.00	$14.13	$19.05
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $72.44 / $97.72	Professional	TC	$38.02	$72.44	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $138.04	Professional		$61.66	$77.62	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $14.13 / $23.44	Professional	26	$11.48	$14.13	$23.44
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $72.44 / $117.49	Professional	TC	$53.70	$72.44	$117.49
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $85.11	Facility	26	$79.43	$79.43	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $478.63 / $478.63	Professional		$346.74	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $93.33 / $93.33	Professional	26	$74.13	$93.33	$93.33
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $380.19 / $380.19	Professional	TC	$269.15	$380.19	$380.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $33.11 / $75.86	Professional		$16.98	$33.11	$75.86
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $144.54	Professional		$57.54	$77.62	$144.54
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $15.85 / $28.84	Professional	26	$12.30	$15.85	$28.84
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $57.54 / $107.15	Professional	TC	$43.65	$57.54	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	TC	$138.04	$138.04	$138.04
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $72.44 / $87.10	Professional		$47.86	$72.44	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $60.26 / $123.03	Professional		$43.65	$60.26	$123.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $32.36	Professional	26	$9.77	$13.80	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $46.77 / $97.72	Professional	TC	$33.11	$46.77	$97.72

California rates for HCPCS 94726