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 $309.03 / $2,511.89 / $7,413.10	Facility	$309.03	$2,511.89	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $190.55 / $407.38	Professional	$123.03	$190.55	$407.38
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $100.00 / $151.36	Professional	$91.20	$100.00	$151.36
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $190.55 / $758.58	Facility	$109.65	$190.55	$758.58
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $169.82 / $257.04	Professional	$131.83	$169.82	$257.04
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $630.96 / $5,495.41	Facility	$173.78	$630.96	$5,495.41
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $177.83	Professional	$100.00	$131.83	$177.83
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $1,445.44 / $1,445.44	Facility	$141.25	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $223.87 / $338.84	Professional	$162.18	$223.87	$338.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $13,489.63 / $13,489.63	Facility	$2,041.74	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $1,737.80 / $1,737.80	Professional	$1,479.11	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $257.04 / $4,073.80	Facility	$147.91	$257.04	$4,073.80
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $223.87 / $398.11	Professional	$138.04	$223.87	$398.11
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $173.78	Professional	$32.36	$33.11	$173.78
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $204.17 / $302.00	Facility	$141.25	$204.17	$302.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $229.09 / $338.84	Professional	$165.96	$229.09	$338.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $2,041.74 / $4,073.80	Facility	$776.25	$2,041.74	$4,073.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $263.03	Professional	$128.82	$181.97	$263.03
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $213.80	Professional	$199.53	$199.53	$213.80

Texas rates for HCPCS 11423