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 $123.03 / $186.21 / $676.08	Facility	26	$123.03	$186.21	$676.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $851.14 / $3,235.94	Professional		$630.96	$851.14	$3,235.94
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $223.87 / $602.56	Professional	26	$120.23	$223.87	$602.56
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $199.53 / $275.42 / $1,258.93	Professional	52	$199.53	$275.42	$1,258.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $707.95 / $2,238.72	Professional	TC	$478.63	$707.95	$2,238.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $676.08 / $851.14	Professional		$616.60	$676.08	$851.14
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $123.03 / $257.04	Professional	26	$112.20	$123.03	$257.04
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional	52	$141.25	$141.25	$141.25
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional	TC	$524.81	$524.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $933.25 / $1,949.84	Professional		$616.60	$933.25	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $251.19 / $426.58	Professional	26	$128.82	$251.19	$426.58
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $724.44 / $1,584.89	Professional	TC	$380.19	$724.44	$1,584.89
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $794.33 / $1,621.81	Professional		$602.56	$794.33	$1,621.81
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $138.04 / $281.84	Professional	26	$107.15	$138.04	$281.84
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $660.69 / $1,318.26	Professional	TC	$501.19	$660.69	$1,318.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,000.00 / $1,819.70	Professional		$676.08	$1,000.00	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $186.21 / $331.13	Professional	26	$128.82	$186.21	$331.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $562.34 / $812.83 / $1,479.11	Professional	TC	$562.34	$812.83	$1,479.11
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $537.03 / $1,202.26	Professional		$354.81	$537.03	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $169.82 / $213.80	Professional	26	$144.54	$169.82	$213.80
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $281.84 / $1,023.29	Professional	TC	$190.55	$281.84	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $870.96 / $1,479.11	Professional		$691.83	$870.96	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $131.83 / $234.42	Professional	26	$117.49	$131.83	$234.42
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $630.96 / $758.58 / $1,230.27	Professional	TC	$630.96	$758.58	$1,230.27
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Professional	26	$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3,981.07 / $4,570.88 / $4,570.88	Professional	TC	$3,981.07	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $707.95 / $891.25	Professional		$173.78	$707.95	$891.25
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 $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,047.13 / $1,698.24	Professional		$691.83	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $186.21 / $316.23	Professional	26	$128.82	$186.21	$316.23
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $794.33 / $1,412.54	Professional	TC	$537.03	$794.33	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	26	$416.87	$416.87	$416.87
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,737.80	Professional	TC	$1,737.80	$1,737.80	$1,737.80
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $812.83 / $1,096.48	Professional		$457.09	$812.83	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $831.76 / $1,778.28	Professional		$524.81	$831.76	$1,778.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $165.96 / $338.84	Professional	26	$100.00	$165.96	$338.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $660.69 / $1,445.44	Professional	TC	$436.52	$660.69	$1,445.44

California rates for HCPCS 95811