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 $169.82 / $190.55 / $1,047.13	Facility	26	$169.82	$190.55	$1,047.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $363.08 / $1,258.93	Professional		$281.84	$363.08	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $213.80 / $707.95	Professional	26	$169.82	$213.80	$707.95
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $123.03 / $251.19	Professional	TC	$97.72	$123.03	$251.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $691.83	Professional		$257.04	$302.00	$691.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $323.59 / $446.68	Professional	26	$158.49	$323.59	$446.68
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $467.74 / $891.25	Professional		$302.00	$467.74	$891.25
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $275.42 / $537.03	Professional	26	$194.98	$275.42	$537.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $194.98 / $354.81	Professional	TC	$109.65	$194.98	$354.81
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $316.23 / $575.44	Professional		$263.03	$316.23	$575.44
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $234.42 / $489.78	Professional	26	$186.21	$234.42	$489.78
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $169.82 / $549.54	Professional	TC	$112.20	$169.82	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $407.38 / $831.76	Professional		$316.23	$407.38	$831.76
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $251.19 / $501.19	Professional	26	$190.55	$251.19	$501.19
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $158.49 / $316.23	Professional	TC	$114.82	$158.49	$316.23
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $380.19 / $501.19	Professional		$263.03	$380.19	$501.19
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $223.87 / $288.40	Professional	26	$15.85	$223.87	$288.40
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $218.78 / $245.47	Professional	TC	$158.49	$218.78	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $346.74 / $588.84	Professional		$288.40	$346.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $204.17 / $354.81	Professional	26	$181.97	$204.17	$354.81
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $144.54 / $245.47	Professional	TC	$123.03	$144.54	$245.47
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $2,344.23 / $2,344.23	Professional		$1,862.09	$2,344.23	$2,344.23
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $1,174.90 / $1,479.11 / $1,479.11	Professional	26	$1,174.90	$1,479.11	$1,479.11
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $691.83 / $851.14 / $851.14	Professional	TC	$691.83	$851.14	$851.14
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $263.03 / $398.11	Professional		$138.04	$263.03	$398.11
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 $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $416.87 / $776.25	Professional		$316.23	$416.87	$776.25
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $251.19 / $457.09	Professional	26	$190.55	$251.19	$457.09
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $154.88 / $288.40	Professional	TC	$109.65	$154.88	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	26	$616.60	$616.60	$616.60
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional	TC	$389.05	$389.05	$389.05
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $346.74 / $446.68	Professional		$263.03	$346.74	$446.68
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $346.74 / $794.33	Professional		$245.47	$346.74	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $213.80 / $478.63	Professional	26	$151.36	$213.80	$478.63
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $134.90 / $302.00	Professional	TC	$91.20	$134.90	$302.00

California rates for HCPCS 95913