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 $57.54 / $72.44 / $316.23	Facility	26	$57.54	$72.44	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $489.78 / $1,548.82	Professional		$389.05	$489.78	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $77.62 / $257.04	Professional	26	$53.70	$77.62	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $398.11 / $1,000.00	Professional	TC	$331.13	$398.11	$1,000.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $912.01	Professional		$446.68	$446.68	$912.01
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $125.89	Professional	26	$102.33	$102.33	$125.89
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Professional	TC	$371.54	$371.54	$371.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $537.03 / $1,174.90	Professional		$371.54	$537.03	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $107.15 / $181.97	Professional	26	$60.26	$107.15	$181.97
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $436.52 / $1,000.00	Professional	TC	$275.42	$436.52	$1,000.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $524.81 / $1,023.29	Professional		$380.19	$524.81	$1,023.29
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $128.82	Professional	26	$48.98	$64.57	$128.82
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $457.09 / $891.25	Professional	TC	$331.13	$457.09	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $630.96 / $1,202.26	Professional		$436.52	$630.96	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $91.20 / $154.88	Professional	26	$61.66	$91.20	$154.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $537.03 / $1,023.29	Professional	TC	$363.08	$537.03	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $295.12 / $831.76	Professional		$194.98	$295.12	$831.76
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $69.18 / $91.20	Professional	26	$67.61	$69.18	$91.20
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $190.55 / $741.31	Professional	TC	$125.89	$190.55	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $588.84 / $1,047.13	Professional		$478.63	$588.84	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $61.66 / $109.65	Professional	26	$54.95	$61.66	$109.65
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $549.54 / $912.01	Professional	TC	$457.09	$549.54	$912.01
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $4,168.69	Professional		$3,715.35	$3,715.35	$4,168.69
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional	26	$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $3,715.35	Professional	TC	$3,715.35	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $501.19 / $588.84	Professional		$81.28	$501.19	$588.84
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional		$54.95	$54.95	$70.79
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility	26	$60.26	$60.26	$60.26
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $676.08 / $1,096.48	Professional		$436.52	$676.08	$1,096.48
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $89.13 / $147.91	Professional	26	$60.26	$89.13	$147.91
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $524.81 / $1,023.29	Professional	TC	$354.81	$524.81	$1,023.29
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional	26	$194.98	$194.98	$194.98
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,202.26 / $1,202.26 / $1,202.26	Professional	TC	$1,202.26	$1,202.26	$1,202.26
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $478.63 / $645.65	Professional		$245.47	$478.63	$645.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $501.19 / $1,096.48	Professional		$338.84	$501.19	$1,096.48
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $81.28 / $162.18	Professional	26	$48.98	$81.28	$162.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $426.58 / $912.01	Professional	TC	$281.84	$426.58	$912.01

California rates for HCPCS 95805