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 Typical Low / Median / Typical High $489.78 / $4,897.79 / $15,848.93	Facility		$489.78	$4,897.79	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $741.31 / $1,778.28 / $10,000.00	Facility	50	$741.31	$1,778.28	$10,000.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $95.50 / $338.84	Professional		$53.70	$95.50	$338.84
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $109.65 / $194.98 / $562.34	Professional	50	$109.65	$194.98	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $89.13 / $154.88	Professional		$54.95	$89.13	$154.88
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $104.71 / $123.03 / $125.89	Professional	50	$104.71	$123.03	$125.89
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $199.53	Professional		$72.44	$102.33	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $114.82 / $213.80	Professional	50	$83.18	$114.82	$213.80
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,000.00 / $2,041.74	Facility		$85.11	$1,000.00	$2,041.74
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $97.72 / $199.53	Professional		$61.66	$97.72	$199.53
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $89.13 / $165.96	Professional		$60.26	$89.13	$165.96
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $64.57 / $131.83	Professional		$52.48	$64.57	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $93.33 / $169.82	Professional		$50.12	$93.33	$169.82
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $707.95 / $707.95	Professional		$630.96	$707.95	$707.95
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $117.49	Professional		$70.79	$70.79	$117.49
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 $56.23 / $87.10 / $144.54	Facility		$56.23	$87.10	$144.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $89.13 / $173.78	Professional		$60.26	$89.13	$173.78
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $257.04	Professional		$186.21	$186.21	$257.04
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $74.13 / $112.20	Professional		$50.12	$74.13	$112.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,548.82 / $6,456.54	Facility		$549.54	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $162.18	Professional		$48.98	$72.44	$162.18
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	50	$173.78	$173.78	$173.78

California rates for HCPCS 20526