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 $524.81 / $2,238.72 / $6,918.31	Facility		$524.81	$2,238.72	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Facility	50	$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $79.43 / $158.49	Professional		$42.66	$79.43	$158.49
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $223.87 / $354.81	Professional	50	$102.33	$223.87	$354.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $83.18 / $89.13	Professional		$74.13	$83.18	$89.13
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $120.23 / $125.89	Professional	50	$120.23	$120.23	$125.89
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $63.10 / $263.03	Facility		$38.90	$63.10	$263.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $74.13 / $123.03	Professional		$42.66	$74.13	$123.03
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $331.13 / $537.03	Facility		$77.62	$331.13	$537.03
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $85.11 / $147.91	Professional		$45.71	$85.11	$147.91
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $316.23 / $316.23	Facility		$38.90	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $83.18 / $144.54	Professional		$48.98	$83.18	$144.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $309.03	Facility		$54.95	$56.23	$309.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $691.83 / $691.83	Professional		$602.56	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $102.33 / $2,951.21	Facility		$45.71	$102.33	$2,951.21
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Facility	50	$389.05	$389.05	$389.05
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $79.43 / $158.49	Professional		$44.67	$79.43	$158.49
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $213.80 / $338.84	Professional	50	$102.33	$213.80	$338.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $72.44	Professional		$32.36	$38.02	$72.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $151.36 / $323.59	Professional		$144.54	$151.36	$323.59
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $83.18 / $144.54	Facility		$43.65	$83.18	$144.54
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $83.18 / $141.25	Professional		$48.98	$83.18	$141.25
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 $40.74 / $66.07 / $109.65	Professional		$40.74	$66.07	$109.65
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $87.10 / $89.13	Professional		$83.18	$87.10	$89.13

Texas rates for HCPCS 20604