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 $41.69 / $50.12 / $302.00	Facility		$41.69	$50.12	$302.00
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $120.23 / $707.95 / $1,380.38	Professional	AA	$120.23	$707.95	$1,380.38
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $245.47 / $660.69 / $1,258.93	Professional	QX	$245.47	$660.69	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $93.33 / $109.65 / $363.08	Professional	QZ	$93.33	$109.65	$363.08
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $100.00 / $323.59 / $1,288.25	Professional	AA	$100.00	$323.59	$1,288.25
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $63.10 / $162.18 / $354.81	Professional	QX	$63.10	$162.18	$354.81
Ambetter Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional	QY	$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $100.00 / $141.25 / $501.19	Professional	QZ	$100.00	$141.25	$501.19
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,162.28 / $3,388.44 / $4,168.69	Facility		$3,162.28	$3,388.44	$4,168.69
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $138.04 / $138.04	Facility		$21.38	$138.04	$138.04
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 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 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
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 Facility Modifier Typical Low / Median / Typical High $42.66 / $263.03 / $4,677.35	Facility		$42.66	$263.03	$4,677.35
Moda Health Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $120.23 / $1,122.02 / $1,621.81	Professional	AA	$120.23	$1,122.02	$1,621.81
Moda Health Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	QX	$363.08	$363.08	$363.08
Moda Health Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $93.33 / $109.65 / $380.19	Professional	QZ	$93.33	$109.65	$380.19
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $2,511.89 / $5,011.87	Facility		$45.71	$2,511.89	$5,011.87
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $60.26 / $60.26 / $75.86	Professional	QZ	$60.26	$60.26	$75.86

Texas rates for HCPCS 01938