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 $288.40 / $1,621.81 / $6,918.31	Facility	$288.40	$1,621.81	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $281.84 / $575.44	Professional	$169.82	$281.84	$575.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $275.42 / $331.13	Professional	$162.18	$275.42	$331.13
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $245.47 / $1,023.29	Facility	$144.54	$245.47	$1,023.29
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $251.19 / $389.05	Professional	$162.18	$251.19	$389.05
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $158.49 / $181.97	Facility	$95.50	$158.49	$181.97
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $251.19 / $457.09	Professional	$107.15	$251.19	$457.09
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $257.04 / $288.40	Facility	$165.96	$257.04	$288.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $323.59 / $489.78	Professional	$208.93	$323.59	$489.78
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $2,754.23	Facility	$141.25	$141.25	$2,754.23
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,238.72 / $2,570.40 / $2,570.40	Professional	$2,238.72	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $338.84 / $3,548.13	Facility	$177.83	$338.84	$3,548.13
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $295.12 / $562.34	Professional	$173.78	$295.12	$562.34
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $251.19	Professional	$32.36	$33.11	$251.19
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $426.58	Facility	$169.82	$275.42	$426.58
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $331.13 / $501.19	Professional	$213.80	$331.13	$501.19
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 $165.96 / $245.47 / $371.54	Professional	$165.96	$245.47	$371.54
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $309.03	Professional	$295.12	$295.12	$309.03

Texas rates for HCPCS 12042