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 $257.04 / $1,621.81 / $6,918.31	Facility		$257.04	$1,621.81	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $316.23 / $316.23 / $354.81	Facility	50	$316.23	$316.23	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $56.23 / $114.82	Professional		$34.67	$56.23	$114.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $50.12 / $69.18	Professional		$40.74	$50.12	$69.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $44.67 / $186.21	Facility		$28.84	$44.67	$186.21
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $45.71 / $66.07	Professional		$30.20	$45.71	$66.07
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $331.13 / $426.58	Facility		$43.65	$331.13	$426.58
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $51.29 / $83.18	Professional		$24.55	$51.29	$83.18
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $251.19 / $251.19	Facility		$34.67	$251.19	$251.19
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 Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $102.33	Professional		$39.81	$60.26	$102.33
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $2,951.21	Facility		$2,511.89	$2,511.89	$2,951.21
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $630.96	Professional		$562.34	$562.34	$630.96
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $70.79 / $2,454.71	Facility		$39.81	$70.79	$2,454.71
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $316.23 / $316.23 / $354.81	Facility	50	$316.23	$316.23	$354.81
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $57.54 / $102.33	Professional		$36.31	$57.54	$102.33
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $33.11 / $45.71	Professional		$28.84	$33.11	$45.71
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $134.90 / $194.98	Professional		$125.89	$134.90	$194.98
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $58.88 / $100.00	Facility		$38.02	$58.88	$100.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $102.33	Professional		$39.81	$60.26	$102.33
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 $32.36 / $48.98 / $77.62	Professional		$32.36	$48.98	$77.62
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $51.29 / $52.48	Professional		$50.12	$51.29	$52.48

Texas rates for HCPCS 20552