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 $41.69 / $46.77 / $251.19	Facility	26	$41.69	$46.77	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $151.36 / $331.13	Professional		$114.82	$151.36	$331.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $46.77 / $128.82	Professional	26	$40.74	$46.77	$128.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $104.71 / $218.78	Professional	TC	$72.44	$104.71	$218.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $114.82 / $218.78	Professional		$104.71	$114.82	$218.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $114.82	Professional	26	$104.71	$104.71	$114.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $338.84	Professional		$81.28	$138.04	$338.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $61.66 / $123.03	Professional	26	$40.74	$61.66	$123.03
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $85.11 / $223.87	Professional	TC	$28.18	$85.11	$223.87
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $151.36 / $309.03	Professional		$112.20	$151.36	$309.03
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $51.29 / $104.71	Professional	26	$39.81	$51.29	$104.71
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $95.50 / $194.98	Professional	TC	$66.07	$95.50	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $181.97 / $389.05	Professional		$117.49	$181.97	$389.05
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $58.88 / $120.23	Professional	26	$44.67	$58.88	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $123.03 / $275.42	Professional	TC	$72.44	$123.03	$275.42
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $177.83 / $218.78	Professional		$162.18	$177.83	$218.78
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $56.23 / $69.18	Professional	26	$51.29	$56.23	$69.18
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $123.03 / $147.91	Professional	TC	$109.65	$123.03	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $144.54 / $257.04	Professional		$120.23	$144.54	$257.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $46.77 / $79.43	Professional	26	$41.69	$46.77	$79.43
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $102.33 / $169.82	Professional	TC	$87.10	$102.33	$169.82
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 $954.99 / $977.24 / $977.24	Professional		$954.99	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $354.81 / $354.81 / $389.05	Professional	26	$354.81	$354.81	$389.05
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Professional	TC	$776.25	$776.25	$776.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $104.71 / $169.82	Professional		$63.10	$104.71	$169.82
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 $120.23 / $194.98 / $346.74	Professional		$120.23	$194.98	$346.74
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 $72.44 / $120.23 / $257.04	Professional	TC	$72.44	$120.23	$257.04
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
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 $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $144.54 / $323.59	Professional		$102.33	$144.54	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $112.20	Professional	26	$37.15	$51.29	$112.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $93.33 / $218.78	Professional	TC	$64.57	$93.33	$218.78

California rates for HCPCS 95923