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 $72.44 / $102.33 / $446.68	Facility	26	$72.44	$102.33	$446.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $186.21 / $588.84	Professional		$134.90	$186.21	$588.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $91.20 / $309.03	Professional	26	$72.44	$91.20	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $67.61 / $138.04	Professional	TC	$52.48	$67.61	$138.04
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $218.78 / $338.84	Professional		$117.49	$218.78	$338.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $95.50 / $190.55	Professional	26	$67.61	$95.50	$190.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $218.78 / $426.58	Professional		$141.25	$218.78	$426.58
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $117.49 / $229.09	Professional	26	$81.28	$117.49	$229.09
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $102.33 / $204.17	Professional	TC	$61.66	$102.33	$204.17
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $162.18 / $323.59	Professional		$123.03	$162.18	$323.59
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $95.50 / $158.49	Professional	26	$75.86	$95.50	$158.49
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $89.13 / $141.25	Professional	TC	$61.66	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $190.55 / $398.11	Professional		$144.54	$190.55	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $104.71 / $218.78	Professional	26	$81.28	$104.71	$218.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $87.10 / $173.78	Professional	TC	$64.57	$87.10	$173.78
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $181.97 / $239.88	Professional		$123.03	$181.97	$239.88
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $95.50 / $123.03	Professional	26	$66.07	$95.50	$123.03
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $112.20	Professional	TC	$56.23	$87.10	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $165.96 / $295.12	Professional		$134.90	$165.96	$295.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $87.10 / $151.36	Professional	26	$77.62	$87.10	$151.36
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $79.43 / $134.90	Professional	TC	$67.61	$79.43	$134.90
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $501.19 / $501.19 / $501.19	Facility	26	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,096.48 / $1,096.48	Professional		$870.96	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $501.19 / $630.96 / $630.96	Professional	26	$501.19	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $467.74 / $467.74	Professional	TC	$380.19	$467.74	$467.74
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $112.20 / $186.21	Professional		$75.86	$112.20	$186.21
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 $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $363.08	Professional		$147.91	$199.53	$363.08
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $104.71 / $194.98	Professional	26	$79.43	$104.71	$194.98
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $87.10 / $165.96	Professional	TC	$63.10	$87.10	$165.96
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Professional	26	$263.03	$263.03	$263.03
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional	TC	$218.78	$218.78	$218.78
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $165.96 / $208.93	Professional		$123.03	$165.96	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $165.96 / $371.54	Professional		$114.82	$165.96	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $91.20 / $204.17	Professional	26	$66.07	$91.20	$204.17
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $72.44 / $169.82	Professional	TC	$51.29	$72.44	$169.82

California rates for HCPCS 95909