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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,862.09 / $6,760.83	Facility	$295.12	$1,862.09	$6,760.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $123.03 / $288.40	Professional	$44.67	$123.03	$288.40
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $154.88	Professional	$85.11	$117.49	$154.88
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $537.03	Facility	$89.13	$131.83	$537.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $89.13 / $154.88	Professional	$38.02	$89.13	$154.88
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $158.49 / $245.47	Facility	$45.71	$158.49	$245.47
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $104.71 / $190.55	Professional	$45.71	$104.71	$190.55
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $169.82 / $169.82	Facility	$37.15	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $117.49 / $199.53	Professional	$51.29	$117.49	$199.53
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $512.86	Facility	$54.95	$56.23	$512.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,047.13 / $1,047.13	Professional	$891.25	$1,047.13	$1,047.13
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $162.18 / $3,801.89	Facility	$41.69	$162.18	$3,801.89
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $114.82 / $234.42	Professional	$41.69	$114.82	$234.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $100.00	Professional	$32.36	$33.11	$100.00
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $95.50 / $162.18	Facility	$38.90	$95.50	$162.18
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $120.23 / $199.53	Professional	$51.29	$120.23	$199.53
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 $42.66 / $91.20 / $165.96	Professional	$42.66	$91.20	$165.96
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $123.03	Professional	$114.82	$114.82	$123.03

Texas rates for HCPCS 11104