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 $354.81 / $1,479.11 / $5,495.41	Facility		$354.81	$1,479.11	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $97.72 / $269.15	Professional		$50.12	$97.72	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $74.13 / $134.90	Professional		$48.98	$74.13	$134.90
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $512.86 / $1,071.52	Facility		$288.40	$512.86	$1,071.52
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $104.71 / $162.18	Professional		$48.98	$104.71	$162.18
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $478.63 / $7,413.10	Facility		$204.17	$478.63	$7,413.10
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $204.17	Professional		$77.62	$117.49	$204.17
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $338.84 / $338.84	Facility		$54.95	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $75.86	Facility		$69.18	$69.18	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $109.65 / $190.55	Professional		$61.66	$109.65	$190.55
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $28,840.32 / $28,840.32	Facility		$2,454.71	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $933.25 / $1,096.48	Professional		$83.18	$933.25	$1,096.48
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $208.93 / $3,801.89	Facility		$57.54	$208.93	$3,801.89
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $107.15 / $251.19	Professional		$52.48	$107.15	$251.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $97.72 / $173.78	Facility		$54.95	$97.72	$173.78
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $112.20 / $204.17	Professional		$63.10	$112.20	$204.17
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $851.14 / $2,290.87	Facility		$173.78	$851.14	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $89.13 / $147.91	Professional		$50.12	$89.13	$147.91
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $134.90	Professional		$125.89	$125.89	$134.90

Texas rates for HCPCS 11042