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 $7.94 / $11.48 / $16.60	Facility	26	$7.94	$11.48	$16.60
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $66.07 / $257.04	Professional		$52.48	$66.07	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.88 / $38.90	Professional	26	$7.94	$12.88	$38.90
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $8.13 / $39.81 / $39.81	Professional	52	$8.13	$39.81	$39.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $54.95 / $128.82	Professional	TC	$44.67	$54.95	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $57.54 / $89.13	Professional		$46.77	$57.54	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.77 / $22.91	Professional	26	$7.76	$9.77	$22.91
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 $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
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 $7.76 / $10.23 / $21.88	Professional	26	$7.76	$10.23	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $131.83	Professional	TC	$48.98	$64.57	$131.83
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 $7.94 / $10.72 / $20.89	Professional	26	$7.94	$10.72	$20.89
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $128.82	Professional	TC	$48.98	$64.57	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $151.36	Professional		$57.54	$77.62	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $11.48 / $22.39	Professional	26	$8.91	$11.48	$22.39
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $66.07 / $125.89	Professional	TC	$48.98	$66.07	$125.89
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $74.13 / $112.20	Professional		$47.86	$74.13	$112.20
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.23 / $14.13	Professional	26	$6.76	$10.23	$14.13
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $63.10 / $97.72	Professional	TC	$41.69	$63.10	$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 $8.91 / $10.96 / $18.20	Professional	26	$8.91	$10.96	$18.20
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $75.86 / $123.03	Professional	TC	$56.23	$75.86	$123.03
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 $371.54 / $467.74 / $467.74	Professional		$371.54	$467.74	$467.74
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $70.79	Professional	26	$54.95	$70.79	$70.79
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $407.38 / $407.38	Professional	TC	$316.23	$407.38	$407.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $33.11 / $77.62	Professional		$12.59	$33.11	$77.62
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	26	$9.12	$9.12	$9.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $79.43 / $151.36	Professional		$58.88	$79.43	$151.36
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.22 / $20.89	Professional	26	$8.71	$11.22	$20.89
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $120.23	Professional	TC	$48.98	$64.57	$120.23
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional	26	$29.51	$29.51	$29.51
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional	TC	$158.49	$158.49	$158.49
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $104.71	Professional		$61.66	$79.43	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $61.66 / $128.82	Professional		$44.67	$61.66	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $9.77 / $24.55	Professional	26	$7.24	$9.77	$24.55
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $51.29 / $109.65	Professional	TC	$37.15	$51.29	$109.65

California rates for HCPCS 94729