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 $51.29 / $77.62 / $173.78	Facility	26	$51.29	$77.62	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $426.58 / $1,148.15	Professional		$302.00	$426.58	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $75.86 / $229.09	Professional	26	$51.29	$75.86	$229.09
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $323.59 / $707.95	Professional	TC	$251.19	$323.59	$707.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $478.63	Professional		$323.59	$407.38	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $67.61 / $125.89	Professional	26	$51.29	$67.61	$125.89
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $338.84	Professional	TC	$295.12	$295.12	$338.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $288.40 / $851.14	Professional		$154.88	$288.40	$851.14
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $74.13 / $147.91	Professional	26	$51.29	$74.13	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $213.80 / $724.44	Professional	TC	$83.18	$213.80	$724.44
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $323.59 / $676.08	Professional		$213.80	$323.59	$676.08
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $61.66 / $123.03	Professional	26	$45.71	$61.66	$123.03
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $251.19 / $549.54	Professional	TC	$165.96	$251.19	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $446.68 / $1,000.00	Professional		$229.09	$446.68	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $72.44 / $151.36	Professional	26	$54.95	$72.44	$151.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $380.19 / $870.96	Professional	TC	$165.96	$380.19	$870.96
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $95.50 / $707.95	Professional		$72.44	$95.50	$707.95
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $45.71 / $83.18	Professional	26	$34.67	$45.71	$83.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $50.12 / $630.96	Professional	TC	$38.02	$50.12	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $512.86 / $851.14	Professional		$407.38	$512.86	$851.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $61.66 / $104.71	Professional	26	$54.95	$61.66	$104.71
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $457.09 / $776.25	Professional	TC	$389.05	$457.09	$776.25
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $3,235.94 / $3,235.94	Professional		$2,454.71	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $354.81 / $446.68 / $446.68	Professional	26	$354.81	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2,089.30 / $2,818.38 / $2,818.38	Professional	TC	$2,089.30	$2,818.38	$2,818.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $457.09 / $537.03	Professional		$79.43	$457.09	$537.03
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 $239.88 / $478.63 / $1,023.29	Professional		$239.88	$478.63	$1,023.29
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $138.04	Professional	26	$54.95	$70.79	$138.04
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $363.08 / $758.58	Professional	TC	$169.82	$363.08	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	26	$190.55	$190.55	$190.55
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Professional	TC	$1,047.13	$1,047.13	$1,047.13
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $154.88 / $467.74	Professional		$91.20	$154.88	$467.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $371.54 / $933.25	Professional		$223.87	$371.54	$933.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $64.57 / $144.54	Professional	26	$45.71	$64.57	$144.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $309.03 / $794.33	Professional	TC	$173.78	$309.03	$794.33

California rates for HCPCS 95816