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 $42.66 / $91.20 / $257.04	Facility	26	$42.66	$91.20	$257.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $204.17 / $676.08	Professional		$85.11	$204.17	$676.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $85.11 / $251.19	Professional	26	$42.66	$85.11	$251.19
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $316.23 / $416.87	Professional	50	$173.78	$316.23	$416.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $53.70 / $123.03	Professional	TC	$39.81	$53.70	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $100.00 / $234.42	Professional		$83.18	$100.00	$234.42
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $60.26 / $107.15	Professional	26	$40.74	$60.26	$107.15
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $138.04 / $138.04 / $208.93	Professional	50	$138.04	$138.04	$208.93
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	TC	$67.61	$67.61	$67.61
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $263.03	Professional		$89.13	$117.49	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $60.26 / $128.82	Professional	26	$44.67	$60.26	$128.82
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $58.88 / $134.90	Professional	TC	$43.65	$58.88	$134.90
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $208.93	Professional		$74.13	$102.33	$208.93
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $44.67 / $87.10	Professional	26	$31.62	$44.67	$87.10
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $58.88 / $123.03	Professional	TC	$42.66	$58.88	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $125.89 / $275.42	Professional		$93.33	$125.89	$275.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $61.66 / $123.03	Professional	26	$47.86	$61.66	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $64.57 / $144.54	Professional	TC	$45.71	$64.57	$144.54
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $162.18	Professional		$74.13	$97.72	$162.18
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $70.79	Professional	26	$38.02	$50.12	$70.79
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $46.77 / $95.50	Professional	TC	$35.48	$46.77	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $117.49 / $204.17	Professional		$97.72	$117.49	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $50.12 / $85.11	Professional	26	$44.67	$50.12	$85.11
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $70.79 / $120.23	Professional	TC	$60.26	$70.79	$120.23
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $776.25 / $776.25	Professional		$138.04	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $281.84 / $354.81 / $354.81	Professional	26	$281.84	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $416.87 / $416.87	Professional	TC	$354.81	$416.87	$416.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $69.18 / $131.83	Professional		$63.10	$69.18	$131.83
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 $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $269.15	Professional		$95.50	$128.82	$269.15
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $60.26 / $114.82	Professional	26	$47.86	$60.26	$114.82
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $63.10 / $123.03	Professional	TC	$45.71	$63.10	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $147.91	Professional		$79.43	$109.65	$147.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $107.15 / $251.19	Professional		$77.62	$107.15	$251.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $53.70 / $120.23	Professional	26	$38.02	$53.70	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $54.95 / $138.04	Professional	TC	$38.02	$54.95	$138.04

California rates for HCPCS 95886