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 $426.58 / $3,162.28 / $13,182.57	Facility		$426.58	$3,162.28	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $288.40 / $758.58 / $3,715.35	Facility	50	$288.40	$758.58	$3,715.35
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $288.40	Professional		$43.65	$83.18	$288.40
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $112.20 / $389.05	Professional	50	$72.44	$112.20	$389.05
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $58.88 / $97.72	Professional		$44.67	$58.88	$97.72
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $74.13 / $89.13 / $131.83	Professional	50	$74.13	$89.13	$131.83
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 $50.12 / $75.86 / $144.54	Professional		$50.12	$75.86	$144.54
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $77.62 / $151.36	Professional	50	$56.23	$77.62	$151.36
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 $40.74 / $69.18 / $141.25	Professional		$40.74	$69.18	$141.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $117.49	Professional		$42.66	$64.57	$117.49
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $89.13	Professional		$36.31	$45.71	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $63.10 / $117.49	Professional		$33.88	$63.10	$117.49
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 $64.57 / $489.78 / $630.96	Professional		$64.57	$489.78	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $83.18	Professional		$48.98	$48.98	$83.18
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 $38.02 / $61.66 / $102.33	Facility		$38.02	$61.66	$102.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $66.07 / $128.82	Professional		$42.66	$66.07	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $177.83	Professional		$125.89	$125.89	$177.83
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $61.66 / $87.10	Professional		$33.88	$61.66	$87.10
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 $34.67 / $52.48 / $114.82	Professional		$34.67	$52.48	$114.82
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04

California rates for HCPCS 20550