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 $40.74 / $45.71 / $251.19	Facility	26	$40.74	$45.71	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $186.21	Professional		$72.44	$85.11	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $45.71 / $114.82	Professional	26	$39.81	$45.71	$114.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $42.66 / $100.00	Professional	TC	$34.67	$42.66	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $85.11 / $158.49	Professional		$69.18	$85.11	$158.49
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $204.17	Professional		$61.66	$87.10	$204.17
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $51.29 / $117.49	Professional	26	$38.02	$51.29	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.88 / $95.50	Professional	TC	$20.89	$33.88	$95.50
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $91.20 / $190.55	Professional		$64.57	$91.20	$190.55
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $100.00	Professional	26	$38.02	$50.12	$100.00
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $34.67 / $79.43	Professional	TC	$20.89	$34.67	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $234.42	Professional		$70.79	$107.15	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $57.54 / $120.23	Professional	26	$44.67	$57.54	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $51.29 / $114.82	Professional	TC	$23.44	$51.29	$114.82
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $128.82 / $158.49	Professional		$117.49	$128.82	$158.49
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $57.54 / $70.79	Professional	26	$52.48	$57.54	$70.79
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $70.79 / $87.10	Professional	TC	$64.57	$70.79	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $104.71 / $177.83	Professional		$87.10	$104.71	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $47.86 / $79.43	Professional	26	$42.66	$47.86	$79.43
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $58.88 / $97.72	Professional	TC	$50.12	$58.88	$97.72
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 $562.34 / $707.95 / $707.95	Professional		$562.34	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $331.13 / $346.74 / $346.74	Professional	26	$331.13	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $363.08 / $363.08	Professional	TC	$331.13	$363.08	$363.08
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $63.10 / $123.03	Professional		$58.88	$63.10	$123.03
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 $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $109.65 / $239.88	Professional		$74.13	$109.65	$239.88
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $57.54 / $109.65	Professional	26	$44.67	$57.54	$109.65
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $50.12 / $100.00	Professional	TC	$22.91	$50.12	$100.00
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	26	$147.91	$147.91	$147.91
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	TC	$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $218.78	Professional		$66.07	$89.13	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $50.12 / $109.65	Professional	26	$36.31	$50.12	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $40.74 / $107.15	Professional	TC	$27.54	$40.74	$107.15

California rates for HCPCS 95921