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 $371.54 / $3,467.37 / $14,125.38	Facility	$371.54	$3,467.37	$14,125.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $75.86 / $269.15	Professional	$39.81	$75.86	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $61.66 / $95.50	Professional	$48.98	$61.66	$95.50
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 $52.48 / $77.62 / $158.49	Professional	$52.48	$77.62	$158.49
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 $39.81 / $72.44 / $147.91	Professional	$39.81	$72.44	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $69.18 / $128.82	Professional	$43.65	$69.18	$128.82
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $56.23 / $89.13	Professional	$46.77	$56.23	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $120.23	Professional	$41.69	$64.57	$120.23
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $5,011.87 / $5,011.87	Facility	$1,288.25	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $630.96	Professional	$501.19	$501.19	$630.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $85.11	Professional	$51.29	$51.29	$85.11
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 $45.71 / $69.18 / $109.65	Facility	$45.71	$69.18	$109.65
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $70.79 / $134.90	Professional	$43.65	$70.79	$134.90
Sutter Health Plus Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Facility	$616.60	$616.60	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $208.93	Professional	$141.25	$141.25	$208.93
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $95.50	Professional	$42.66	$64.57	$95.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,513.56 / $6,025.60	Facility	$575.44	$1,513.56	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $56.23 / $123.03	Professional	$36.31	$56.23	$123.03

California rates for HCPCS 20553