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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $6,309.57 / $16,218.10	Facility	$2,137.96	$6,309.57	$16,218.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $346.74 / $1,071.52	Professional	$114.82	$346.74	$1,071.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $239.88 / $645.65	Professional	$165.96	$239.88	$645.65
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $6,165.95 / $13,489.63	Facility	$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $380.19 / $1,479.11	Professional	$154.88	$380.19	$1,479.11
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $4,466.84 / $8,912.51	Facility	$85.11	$4,466.84	$8,912.51
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $524.81 / $1,412.54	Professional	$134.90	$524.81	$1,412.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,380.38 / $1,380.38	Facility	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $331.13 / $1,122.02	Professional	$125.89	$331.13	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $645.65	Professional	$125.89	$169.82	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $371.54 / $724.44	Professional	$114.82	$371.54	$724.44
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,168.69 / $19,498.45 / $28,840.32	Facility	$4,168.69	$19,498.45	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,623.41 / $5,623.41 / $5,623.41	Professional	$5,623.41	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $524.81	Professional	$309.03	$309.03	$524.81
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 Typical Low / Median / Typical High $125.89 / $354.81 / $933.25	Facility	$125.89	$354.81	$933.25
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $331.13 / $1,047.13	Professional	$125.89	$331.13	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $436.52 / $1,412.54	Professional	$436.52	$436.52	$1,412.54
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $245.47 / $407.38	Professional	$114.82	$245.47	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $4,265.80 / $9,549.93	Facility	$2,238.72	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $323.59 / $954.99	Professional	$107.15	$323.59	$954.99

California rates for HCPCS 20225