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 $15.85 / $27.54 / $104.71	Facility	26	$15.85	$27.54	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $95.50 / $426.58	Professional		$54.95	$95.50	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $27.54 / $107.15	Professional	26	$16.22	$27.54	$107.15
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $33.88 / $199.53 / $199.53	Professional	50	$33.88	$199.53	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $46.77 / $107.15	Professional	TC	$38.02	$46.77	$107.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $58.88 / $112.20	Professional		$52.48	$58.88	$112.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $43.65	Professional	26	$21.88	$33.11	$43.65
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $173.78	Professional		$57.54	$77.62	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $22.39 / $51.29	Professional	26	$16.98	$22.39	$51.29
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $54.95 / $123.03	Professional	TC	$40.74	$54.95	$123.03
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $72.44 / $144.54	Professional		$53.70	$72.44	$144.54
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $20.42 / $41.69	Professional	26	$15.85	$20.42	$41.69
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $52.48 / $107.15	Professional	TC	$38.02	$52.48	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $81.28 / $177.83	Professional		$60.26	$81.28	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $23.99 / $51.29	Professional	26	$18.20	$23.99	$51.29
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $57.54 / $125.89	Professional	TC	$40.74	$57.54	$125.89
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $63.10 / $109.65	Professional		$47.86	$63.10	$109.65
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.05 / $28.18	Professional	26	$14.45	$19.05	$28.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $81.28	Professional	TC	$33.11	$44.67	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $77.62 / $138.04	Professional		$63.10	$77.62	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $19.95 / $34.67	Professional	26	$17.78	$19.95	$34.67
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $60.26 / $100.00	Professional	TC	$50.12	$60.26	$100.00
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $501.19 / $501.19	Professional		$416.87	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $144.54 / $144.54	Professional	26	$114.82	$144.54	$144.54
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $354.81 / $354.81	Professional	TC	$302.00	$354.81	$354.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $58.88 / $85.11	Professional		$25.70	$58.88	$85.11
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 $19.50 / $19.50 / $19.50	Facility	26	$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $85.11 / $173.78	Professional		$61.66	$85.11	$173.78
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $23.99 / $45.71	Professional	26	$18.20	$23.99	$45.71
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $56.23 / $107.15	Professional	TC	$41.69	$56.23	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $97.72	Professional		$51.29	$72.44	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $69.18 / $165.96	Professional		$50.12	$69.18	$165.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $51.29	Professional	26	$15.14	$21.38	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $47.86 / $117.49	Professional	TC	$34.67	$47.86	$117.49

California rates for HCPCS 95885