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 / $12.02 / $67.61	Facility	26	$10.96	$12.02	$67.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $107.15	Professional		$36.31	$45.71	$107.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $31.62	Professional	26	$10.96	$12.88	$31.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $30.90 / $81.28	Professional	TC	$25.12	$30.90	$81.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	26	$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $114.82	Professional		$43.65	$57.54	$114.82
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 $31.62 / $42.66 / $81.28	Professional	TC	$31.62	$42.66	$81.28
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 / $30.90	Professional	26	$12.02	$16.22	$30.90
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $42.66 / $83.18	Professional	TC	$32.36	$42.66	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $109.65	Professional		$43.65	$57.54	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.60 / $30.90	Professional	26	$12.59	$16.60	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $41.69 / $75.86	Professional	TC	$30.20	$41.69	$75.86
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $57.54 / $83.18	Professional		$38.02	$57.54	$83.18
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $14.45 / $19.50	Professional	26	$10.23	$14.45	$19.50
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $41.69 / $64.57	Professional	TC	$27.54	$41.69	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $57.54 / $104.71	Professional		$46.77	$57.54	$104.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $14.45 / $24.55	Professional	26	$11.75	$14.45	$24.55
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $50.12 / $81.28	Professional	TC	$37.15	$50.12	$81.28
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 $251.19 / $371.54 / $371.54	Professional		$251.19	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $97.72 / $97.72	Professional	26	$75.86	$97.72	$97.72
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $275.42 / $275.42	Professional	TC	$186.21	$275.42	$275.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $33.11 / $60.26	Professional		$17.38	$33.11	$60.26
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $60.26 / $112.20	Professional		$43.65	$60.26	$112.20
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.22 / $29.51	Professional	26	$12.59	$16.22	$29.51
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $74.13	Professional	TC	$30.20	$40.74	$74.13
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	26	$41.69	$41.69	$41.69
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $58.88 / $81.28	Professional		$47.86	$58.88	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $46.77 / $93.33	Professional		$33.11	$46.77	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.80 / $27.54	Professional	26	$10.00	$13.80	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $32.36 / $67.61	Professional	TC	$22.91	$32.36	$67.61

California rates for HCPCS 94728