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 $18.20 / $19.95 / $109.65	Facility	26	$18.20	$19.95	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $91.20 / $275.42	Professional		$57.54	$91.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $25.12 / $77.62	Professional	26	$18.20	$25.12	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $147.91 / $223.87	Professional		$52.48	$147.91	$223.87
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $36.31 / $46.77	Professional	26	$16.22	$36.31	$46.77
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $213.80	Professional		$33.88	$57.54	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $25.70 / $56.23	Professional	26	$18.62	$25.70	$56.23
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $58.88 / $158.49	Professional		$41.69	$58.88	$158.49
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $22.91 / $51.29	Professional	26	$15.49	$22.91	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $91.20 / $218.78	Professional		$40.74	$91.20	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.12 / $52.48	Professional	26	$19.50	$25.12	$52.48
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $109.65 / $138.04	Professional		$24.55	$109.65	$138.04
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $23.44 / $29.51	Professional	26	$19.05	$23.44	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $112.20 / $204.17	Professional		$83.18	$112.20	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $28.84 / $57.54	Professional	26	$21.38	$28.84	$57.54
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $616.60 / $616.60	Professional		$512.86	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $154.88 / $154.88	Professional	26	$123.03	$154.88	$154.88
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $75.86 / $102.33	Professional		$26.92	$75.86	$102.33
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 $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $93.33 / $199.53	Professional		$41.69	$93.33	$199.53
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $24.55 / $48.98	Professional	26	$19.05	$24.55	$48.98
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $42.66 / $100.00	Professional		$24.55	$42.66	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $69.18 / $186.21	Professional		$43.65	$69.18	$186.21
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.89 / $46.77	Professional	26	$15.14	$20.89	$46.77

California rates for HCPCS 95874