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 / $4,466.84 / $15,848.93	Facility		$426.58	$4,466.84	$15,848.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $74.13 / $269.15	Professional		$39.81	$74.13	$269.15
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $75.86 / $109.65	Professional	50	$72.44	$75.86	$109.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $61.66 / $100.00	Professional		$52.48	$61.66	$100.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $4,466.84 / $12,022.64	Facility		$2,511.89	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $77.62 / $144.54	Professional		$52.48	$77.62	$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 $44.67 / $70.79 / $144.54	Professional		$44.67	$70.79	$144.54
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 $43.65 / $64.57 / $120.23	Professional		$43.65	$64.57	$120.23
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $52.48 / $89.13	Professional		$36.31	$52.48	$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 $416.87 / $478.63 / $478.63	Professional		$416.87	$478.63	$478.63
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $81.28	Professional		$48.98	$48.98	$81.28
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 $39.81 / $63.10 / $102.33	Facility		$39.81	$63.10	$102.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $67.61 / $128.82	Professional		$43.65	$67.61	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $181.97	Professional		$128.82	$128.82	$181.97
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $64.57 / $89.13	Professional		$33.11	$64.57	$89.13
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 $35.48 / $53.70 / $114.82	Professional		$35.48	$53.70	$114.82

California rates for HCPCS 20551