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 / $75.86 / $323.59	Facility	26	$51.29	$75.86	$323.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $457.09 / $1,479.11	Professional		$338.84	$457.09	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $93.33 / $251.19	Professional	26	$51.29	$93.33	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $380.19 / $831.76	Professional	TC	$281.84	$380.19	$831.76
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $489.78 / $831.76	Professional		$416.87	$489.78	$831.76
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $61.66 / $151.36	Professional	26	$50.12	$61.66	$151.36
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $302.00 / $954.99	Professional		$158.49	$302.00	$954.99
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $77.62 / $158.49	Professional	26	$52.48	$77.62	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $229.09 / $831.76	Professional	TC	$77.62	$229.09	$831.76
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $354.81 / $776.25	Professional		$234.42	$354.81	$776.25
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 $190.55 / $281.84 / $660.69	Professional	TC	$190.55	$281.84	$660.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $512.86 / $1,202.26	Professional		$229.09	$512.86	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $72.44 / $154.88	Professional	26	$54.95	$72.44	$154.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $446.68 / $1,071.52	Professional	TC	$165.96	$446.68	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $831.76	Professional		$63.10	$83.18	$831.76
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $43.65 / $85.11	Professional	26	$33.11	$43.65	$85.11
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $38.90 / $741.31	Professional	TC	$29.51	$38.90	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $602.56 / $977.24	Professional		$478.63	$602.56	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $61.66 / $107.15	Professional	26	$54.95	$61.66	$107.15
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $549.54 / $912.01	Professional	TC	$467.74	$549.54	$912.01
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 $2,884.03 / $3,801.89 / $3,801.89	Professional		$2,884.03	$3,801.89	$3,801.89
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 $2,511.89 / $3,388.44 / $3,388.44	Professional	TC	$2,511.89	$3,388.44	$3,388.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $537.03 / $616.60	Professional		$79.43	$537.03	$616.60
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 / $562.34 / $1,202.26	Professional		$239.88	$562.34	$1,202.26
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 $165.96 / $436.52 / $933.25	Professional	TC	$165.96	$436.52	$933.25
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
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 $1,258.93 / $1,258.93 / $1,258.93	Professional	TC	$1,258.93	$1,258.93	$1,258.93
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $134.90 / $549.54	Professional		$77.62	$134.90	$549.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $436.52 / $1,122.02	Professional		$234.42	$436.52	$1,122.02
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $63.10 / $144.54	Professional	26	$45.71	$63.10	$144.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $380.19 / $977.24	Professional	TC	$186.21	$380.19	$977.24

California rates for HCPCS 95819