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 $75.86 / $83.18 / $457.09	Facility	26	$75.86	$83.18	$457.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $169.82 / $512.86	Professional		$128.82	$169.82	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $85.11 / $257.04	Professional	26	$74.13	$85.11	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $81.28 / $177.83	Professional	TC	$54.95	$81.28	$177.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $165.96	Professional		$147.91	$147.91	$165.96
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $141.25 / $354.81	Professional	26	$83.18	$141.25	$354.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $398.11	Professional		$117.49	$177.83	$398.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $120.23 / $234.42	Professional	26	$75.86	$120.23	$234.42
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $54.95 / $181.97	Professional	TC	$37.15	$54.95	$181.97
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $162.18 / $331.13	Professional		$114.82	$162.18	$331.13
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $91.20 / $181.97	Professional	26	$69.18	$91.20	$181.97
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $53.70 / $131.83	Professional	TC	$35.48	$53.70	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $204.17 / $457.09	Professional		$125.89	$204.17	$457.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $104.71 / $218.78	Professional	26	$79.43	$104.71	$218.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $104.71 / $234.42	Professional	TC	$40.74	$104.71	$234.42
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $263.03	Professional		$95.50	$125.89	$263.03
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $95.50 / $125.89	Professional	26	$74.13	$95.50	$125.89
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $27.54 / $141.25	Professional	TC	$20.89	$27.54	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $190.55 / $363.08	Professional		$154.88	$190.55	$363.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $89.13 / $151.36	Professional	26	$79.43	$89.13	$151.36
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $104.71 / $177.83	Professional	TC	$89.13	$104.71	$177.83
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,288.25 / $1,288.25	Professional		$1,047.13	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $512.86 / $645.65 / $645.65	Professional	26	$512.86	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $630.96 / $630.96	Professional	TC	$549.54	$630.96	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $114.82 / $218.78	Professional		$107.15	$114.82	$218.78
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 $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $208.93 / $436.52	Professional		$125.89	$208.93	$436.52
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $102.33 / $199.53	Professional	26	$79.43	$102.33	$199.53
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $102.33 / $204.17	Professional	TC	$39.81	$102.33	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	26	$269.15	$269.15	$269.15
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	TC	$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $190.55 / $269.15	Professional		$117.49	$190.55	$269.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $436.52	Professional		$117.49	$169.82	$436.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $91.20 / $213.80	Professional	26	$66.07	$91.20	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $85.11 / $234.42	Professional	TC	$39.81	$85.11	$234.42

California rates for HCPCS 95861