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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $199.53 / $812.83 / $1,071.52	Professional	AA	$199.53	$812.83	$1,071.52
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $398.11 / $630.96 / $933.25	Professional	QX	$398.11	$630.96	$933.25
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $537.03 / $812.83 / $891.25	Professional	QY	$537.03	$812.83	$891.25
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional	QZ	$1,000.00	$1,000.00	$1,000.00
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $263.03 / $776.25 / $1,174.90	Professional	AA	$263.03	$776.25	$1,174.90
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $97.72 / $128.82 / $549.54	Professional	QX	$97.72	$128.82	$549.54
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $239.88 / $912.01 / $2,137.96	Professional	QZ	$239.88	$912.01	$2,137.96
Cigna Facility/Professional Facility Modifier QK Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Lucent Health Facility/Professional Facility Modifier QK Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QY Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48
Moda Health Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $199.53 / $436.52 / $912.01	Professional	AA	$199.53	$436.52	$912.01
Moda Health Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $380.19 / $512.86 / $933.25	Professional	QX	$380.19	$512.86	$933.25
Moda Health Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Professional	QZ	$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $812.83 / $812.83 / $812.83	Professional	QZ	$812.83	$812.83	$812.83

Texas rates for HCPCS 01916