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 $346.74 / $1,905.46 / $10,715.19	Facility		$346.74	$1,905.46	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $575.44 / $1,445.44 / $6,025.60	Facility	50	$575.44	$1,445.44	$6,025.60
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $83.18 / $269.15	Professional		$45.71	$83.18	$269.15
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $69.18 / $134.90 / $407.38	Professional	50	$69.18	$134.90	$407.38
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $69.18 / $112.20	Professional		$44.67	$69.18	$112.20
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $102.33 / $177.83	Professional	50	$72.44	$102.33	$177.83
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $93.33 / $173.78	Professional		$58.88	$93.33	$173.78
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $97.72 / $186.21	Professional	50	$67.61	$97.72	$186.21
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 $51.29 / $85.11 / $169.82	Professional		$51.29	$85.11	$169.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $74.13 / $138.04	Professional		$50.12	$74.13	$138.04
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $53.70 / $102.33	Professional		$43.65	$53.70	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $72.44 / $134.90	Professional		$39.81	$72.44	$134.90
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $15,135.61 / $15,135.61	Facility		$1,288.25	$15,135.61	$15,135.61
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $478.63 / $549.54	Professional		$83.18	$478.63	$549.54
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $93.33	Professional		$56.23	$56.23	$93.33
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 / $72.44 / $120.23	Facility		$45.71	$72.44	$120.23
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $144.54	Professional		$50.12	$77.62	$144.54
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 $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $64.57 / $95.50	Professional		$39.81	$64.57	$95.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $1,479.11 / $6,025.60	Facility		$549.54	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $131.83	Professional		$40.74	$63.10	$131.83
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $85.11 / $147.91	Professional	50	$79.43	$85.11	$147.91

California rates for HCPCS 20610