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 $10.96 / $23.44 / $66.07	Facility	26	$10.96	$23.44	$66.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $50.12 / $114.82	Professional		$40.74	$50.12	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.85 / $44.67	Professional	26	$10.96	$15.85	$44.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $34.67 / $85.11	Professional	TC	$28.84	$34.67	$85.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $44.67 / $53.70	Professional		$37.15	$44.67	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $11.48 / $15.49	Professional	26	$9.77	$11.48	$15.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $117.49	Professional		$43.65	$57.54	$117.49
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 $32.36 / $42.66 / $87.10	Professional	TC	$32.36	$42.66	$87.10
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $58.88 / $114.82	Professional		$44.67	$58.88	$114.82
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 $32.36 / $42.66 / $85.11	Professional	TC	$32.36	$42.66	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $114.82	Professional		$45.71	$60.26	$114.82
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 $32.36 / $43.65 / $83.18	Professional	TC	$32.36	$43.65	$83.18
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $67.61 / $91.20	Professional		$38.02	$67.61	$91.20
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.13 / $19.05	Professional	26	$10.23	$14.13	$19.05
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $52.48 / $70.79	Professional	TC	$27.54	$52.48	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $60.26 / $100.00	Professional		$47.86	$60.26	$100.00
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 $38.90 / $52.48 / $85.11	Professional	TC	$38.90	$52.48	$85.11
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 $275.42 / $380.19 / $380.19	Professional		$275.42	$380.19	$380.19
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 $204.17 / $281.84 / $281.84	Professional	TC	$204.17	$281.84	$281.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $33.11 / $61.66	Professional		$16.98	$33.11	$61.66
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 $45.71 / $61.66 / $114.82	Professional		$45.71	$61.66	$114.82
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 $32.36 / $42.66 / $79.43	Professional	TC	$32.36	$42.66	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $104.71 / $104.71 / $104.71	Professional	TC	$104.71	$104.71	$104.71
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $56.23 / $67.61	Professional		$38.02	$56.23	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $47.86 / $100.00	Professional		$34.67	$47.86	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.49 / $26.92	Professional	26	$9.77	$13.49	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $34.67 / $72.44	Professional	TC	$24.55	$34.67	$72.44

California rates for HCPCS 94727