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 $81.28 / $89.13 / $489.78	Facility	26	$81.28	$89.13	$489.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $436.52 / $1,071.52	Professional		$363.08	$436.52	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $144.54 / $416.87	Professional	26	$81.28	$144.54	$416.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $346.74 / $831.76	Professional	TC	$269.15	$346.74	$831.76
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $446.68 / $549.54	Professional		$407.38	$446.68	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $95.50 / $371.54	Professional	26	$74.13	$95.50	$371.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $363.08 / $977.24	Professional		$213.80	$363.08	$977.24
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $120.23 / $239.88	Professional	26	$81.28	$120.23	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $257.04 / $812.83	Professional	TC	$91.20	$257.04	$812.83
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $426.58 / $870.96	Professional		$281.84	$426.58	$870.96
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $100.00 / $199.53	Professional	26	$75.86	$100.00	$199.53
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $295.12 / $645.65	Professional	TC	$190.55	$295.12	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $537.03 / $1,202.26	Professional		$316.23	$537.03	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $112.20 / $234.42	Professional	26	$85.11	$112.20	$234.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $426.58 / $977.24	Professional	TC	$223.87	$426.58	$977.24
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $812.83	Professional		$107.15	$141.25	$812.83
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $85.11 / $131.83	Professional	26	$64.57	$85.11	$131.83
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $56.23 / $691.83	Professional	TC	$42.66	$56.23	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $588.84 / $977.24	Professional		$478.63	$588.84	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $95.50 / $165.96	Professional	26	$85.11	$95.50	$165.96
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $501.19 / $831.76	Professional	TC	$426.58	$501.19	$831.76
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	26	$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,754.23 / $3,715.35 / $3,715.35	Professional		$2,754.23	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $676.08 / $676.08 / $776.25	Professional	26	$676.08	$676.08	$776.25
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,187.76 / $3,019.95 / $3,019.95	Professional	TC	$2,187.76	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $478.63 / $602.56	Professional		$120.23	$478.63	$602.56
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 $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $1,148.15	Professional		$323.59	$562.34	$1,148.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $109.65 / $213.80	Professional	26	$85.11	$109.65	$213.80
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $416.87 / $851.14	Professional	TC	$223.87	$416.87	$851.14
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 $288.40 / $288.40 / $288.40	Professional	26	$288.40	$288.40	$288.40
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,096.48	Professional	TC	$1,096.48	$1,096.48	$1,096.48
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $229.09 / $549.54	Professional		$134.90	$229.09	$549.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $426.58 / $1,071.52	Professional		$288.40	$426.58	$1,071.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $97.72 / $218.78	Professional	26	$72.44	$97.72	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $331.13 / $831.76	Professional	TC	$213.80	$331.13	$831.76

California rates for HCPCS 95813