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 $251.19 / $1,412.54 / $6,918.31	Facility		$251.19	$1,412.54	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $489.78 / $1,288.25 / $4,466.84	Facility	50	$489.78	$1,288.25	$4,466.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $60.26 / $120.23	Professional		$35.48	$60.26	$120.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $154.88 / $316.23	Professional	50	$81.28	$154.88	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $54.95 / $72.44	Professional		$28.18	$54.95	$72.44
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $52.48 / $79.43 / $112.20	Professional	50	$52.48	$79.43	$112.20
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $39.81 / $158.49	Facility		$24.55	$39.81	$158.49
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $45.71 / $69.18	Professional		$30.90	$45.71	$69.18
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $331.13 / $501.19	Facility		$36.31	$331.13	$501.19
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $53.70 / $85.11	Professional		$27.54	$53.70	$85.11
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $251.19 / $251.19	Facility		$31.62	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $63.10 / $104.71	Professional		$39.81	$63.10	$104.71
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $15,135.61 / $15,135.61	Facility		$2,187.76	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $398.11 / $457.09	Professional		$72.44	$398.11	$457.09
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $74.13 / $2,290.87	Facility		$38.90	$74.13	$2,290.87
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $426.58 / $588.84 / $4,466.84	Facility	50	$426.58	$588.84	$4,466.84
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $57.54 / $107.15	Professional		$35.48	$57.54	$107.15
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $154.88 / $323.59	Professional	50	$81.28	$154.88	$323.59
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $33.11 / $46.77	Professional		$29.51	$33.11	$46.77
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $123.03 / $213.80	Professional		$114.82	$123.03	$213.80
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $61.66 / $102.33	Facility		$37.15	$61.66	$102.33
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $63.10 / $102.33	Professional		$39.81	$63.10	$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 $33.11 / $48.98 / $79.43	Professional		$33.11	$48.98	$79.43
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $57.54	Professional		$54.95	$56.23	$57.54

Texas rates for HCPCS 20605