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 Professional Modifier Typical Low / Median / Typical High $338.84 / $549.54 / $1,202.26	Professional		$338.84	$549.54	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $186.21 / $524.81	Professional	26	$141.25	$186.21	$524.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $363.08 / $758.58	Professional	TC	$177.83	$363.08	$758.58
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $380.19	Professional	26	$83.18	$83.18	$380.19
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $758.58 / $1,698.24	Professional		$204.17	$758.58	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $213.80 / $616.60	Professional	26	$74.13	$213.80	$616.60
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $537.03 / $1,000.00	Professional	TC	$144.54	$537.03	$1,000.00
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $794.33 / $1,621.81	Professional		$588.84	$794.33	$1,621.81
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $177.83 / $223.87 / $478.63	Professional	26	$177.83	$223.87	$478.63
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $660.69 / $1,288.25	Professional	TC	$501.19	$660.69	$1,288.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $467.74 / $630.96	Professional		$338.84	$467.74	$630.96
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $194.98 / $263.03	Professional	26	$93.33	$194.98	$263.03
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $263.03 / $354.81	Professional	TC	$251.19	$263.03	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $436.52 / $707.95	Professional		$363.08	$436.52	$707.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $229.09 / $295.12	Professional	26	$158.49	$229.09	$295.12
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $288.40 / $398.11	Professional	TC	$199.53	$288.40	$398.11
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,096.48	Facility	26	$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility	TC	$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $1,096.48 / $1,380.38 / $1,380.38	Professional	26	$1,096.48	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $1,778.28 / $1,778.28 / $2,344.23	Professional	TC	$1,778.28	$1,778.28	$2,344.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $512.86 / $1,174.90	Facility		$316.23	$512.86	$1,174.90
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $794.33	Professional		$331.13	$331.13	$794.33
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $602.56 / $602.56 / $602.56	Professional	26	$602.56	$602.56	$602.56
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $512.86 / $549.54	Professional		$380.19	$512.86	$549.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $398.11 / $1,047.13	Professional		$208.93	$398.11	$1,047.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $134.90 / $524.81	Professional	26	$109.65	$134.90	$524.81
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $223.87 / $676.08	Professional	TC	$97.72	$223.87	$676.08

California rates for HCPCS G0416