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 $1,071.52 / $5,623.41 / $16,595.87	Facility		$1,071.52	$5,623.41	$16,595.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $89.13 / $275.42	Professional		$42.66	$89.13	$275.42
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $100.00 / $229.09 / $354.81	Professional	50	$100.00	$229.09	$354.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $83.18 / $154.88	Professional		$72.44	$83.18	$154.88
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $107.15 / $123.03 / $309.03	Professional	50	$107.15	$123.03	$309.03
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 $57.54 / $102.33 / $204.17	Professional		$57.54	$102.33	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $114.82 / $213.80	Professional	50	$67.61	$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 $46.77 / $81.28 / $173.78	Professional		$46.77	$81.28	$173.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $83.18 / $158.49	Professional		$50.12	$83.18	$158.49
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $50.12 / $131.83	Professional		$39.81	$50.12	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $91.20 / $169.82	Professional		$39.81	$91.20	$169.82
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $309.03	Facility		$54.95	$56.23	$309.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $691.83 / $691.83	Professional		$602.56	$691.83	$691.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $117.49	Professional		$69.18	$69.18	$117.49
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $83.18 / $144.54	Facility		$45.71	$83.18	$144.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $169.82	Professional		$50.12	$85.11	$169.82
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $251.19	Professional		$147.91	$147.91	$251.19
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $54.95 / $95.50	Professional		$39.81	$54.95	$95.50
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 $40.74 / $69.18 / $144.54	Professional		$40.74	$69.18	$144.54

California rates for HCPCS 20604