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 26 Typical Low / Median / Typical High $6.03 / $8.91 / $19.95	Facility	26	$6.03	$8.91	$19.95
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.89 / $74.13 / $162.18	Facility	TC	$20.89	$74.13	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $28.18 / $91.20	Professional		$16.98	$28.18	$91.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $10.47 / $33.88	Professional	26	$6.17	$10.47	$33.88
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $107.15 / $194.98	Professional	50	$45.71	$107.15	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $18.62 / $72.44	Professional	TC	$12.02	$18.62	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $22.91 / $50.12	Professional		$15.85	$22.91	$50.12
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $12.30 / $17.38	Professional	26	$5.75	$12.30	$17.38
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $16.98 / $16.98	Professional	TC	$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $34.67 / $64.57	Professional		$23.99	$34.67	$64.57
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.22 / $21.38	Professional	26	$7.94	$11.22	$21.38
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $26.92 / $34.67 / $58.88	Professional	50	$26.92	$34.67	$58.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $23.99 / $43.65	Professional	TC	$16.22	$23.99	$43.65
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $63.10	Professional		$25.70	$34.67	$63.10
Blue Shield Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $10.72 / $19.50	Professional	26	$8.13	$10.72	$19.50
Blue Shield Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $44.67	Professional	TC	$16.98	$23.99	$44.67
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.82 / $8.32 / $12.02	Facility	26	$1.82	$8.32	$12.02
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.31 / $15.49 / $22.39	Facility	TC	$3.31	$15.49	$22.39
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $30.20 / $54.95	Professional		$19.50	$30.20	$54.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.55 / $19.05	Professional	26	$6.46	$9.55	$19.05
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $20.89 / $38.90	Professional	TC	$12.88	$20.89	$38.90
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $28.18 / $38.02	Professional		$17.38	$28.18	$38.02
Contra Costa Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $8.51 / $11.48	Professional	26	$5.89	$8.51	$11.48
Contra Costa Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $19.95 / $26.92	Professional	TC	$11.48	$19.95	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $26.92 / $47.86	Professional		$20.89	$26.92	$47.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $9.77 / $15.85	Professional	26	$7.41	$9.77	$15.85
Kaiser Permanente Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $20.89 / $37.15	Professional	TC	$16.22	$20.89	$37.15
Lucent Health Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97
Lucent Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional	26	$75.86	$75.86	$75.86
Lucent Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $147.91	Professional	TC	$123.03	$123.03	$147.91
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $24.55 / $33.11	Professional		$8.71	$24.55	$33.11
Providence Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.31 / $6.31 / $6.31	Facility	26	$6.31	$6.31	$6.31
Providence Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Facility	TC	$13.49	$13.49	$13.49
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $31.62 / $54.95	Professional		$19.50	$31.62	$54.95
Providence Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $8.91 / $16.60	Professional	26	$6.46	$8.91	$16.60
Providence Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $20.42 / $36.31	Professional	TC	$12.59	$20.42	$36.31
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Sutter Health Plus Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	26	$25.12	$25.12	$25.12
Sutter Health Plus Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $31.62 / $42.66	Professional		$22.91	$31.62	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $24.55 / $81.28	Professional		$18.20	$24.55	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $8.51 / $34.67	Professional	26	$5.75	$8.51	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $16.60 / $54.95	Professional	TC	$12.02	$16.60	$54.95

California rates for HCPCS 73020