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 $25.12 / $28.18 / $154.88	Facility	26	$25.12	$28.18	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $177.83 / $457.09	Professional		$141.25	$177.83	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $165.96 / $380.19	Professional		$93.33	$165.96	$380.19
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $158.49 / $338.84	Professional		$114.82	$158.49	$338.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $194.98 / $457.09	Professional		$100.00	$194.98	$457.09
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $107.15 / $257.04	Professional		$81.28	$107.15	$257.04
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $46.77 / $58.88	Professional	26	$32.36	$46.77	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $316.23	Professional		$147.91	$186.21	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $29.51 / $50.12	Professional	26	$26.30	$29.51	$50.12
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $199.53 / $239.88	Professional		$39.81	$199.53	$239.88
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 $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $204.17 / $467.74	Professional		$104.71	$204.17	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $169.82 / $234.42	Professional		$102.33	$169.82	$234.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $154.88 / $380.19	Professional		$107.15	$154.88	$380.19

California rates for HCPCS 95925