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 $154.88 / $1,819.70 / $6,165.95	Facility		$154.88	$1,819.70	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $691.83 / $1,584.89 / $2,754.23	Facility	50	$691.83	$1,584.89	$2,754.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $100.00 / $234.42	Professional		$57.54	$100.00	$234.42
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $190.55 / $457.09	Professional	50	$85.11	$190.55	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $97.72 / $128.82	Professional		$64.57	$97.72	$128.82
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $151.36 / $208.93	Professional	50	$93.33	$151.36	$208.93
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $75.86 / $323.59	Facility		$47.86	$75.86	$323.59
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $81.28 / $125.89	Professional		$51.29	$81.28	$125.89
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $338.84 / $891.25	Facility		$89.13	$338.84	$891.25
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $97.72 / $162.18	Professional		$60.26	$97.72	$162.18
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $302.00 / $302.00	Facility		$48.98	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $104.71 / $177.83	Professional		$63.10	$104.71	$177.83
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $363.08	Facility		$54.95	$56.23	$363.08
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $707.95 / $831.76	Professional		$125.89	$707.95	$831.76
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $134.90 / $2,951.21	Facility		$58.88	$134.90	$2,951.21
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $446.68 / $1,174.90 / $2,951.21	Facility	50	$446.68	$1,174.90	$2,951.21
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $100.00 / $194.98	Professional		$57.54	$100.00	$194.98
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $190.55 / $457.09	Professional	50	$85.11	$190.55	$457.09
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $87.10	Professional		$32.36	$50.12	$87.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $190.55 / $389.05	Professional		$181.97	$190.55	$389.05
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $102.33 / $177.83	Facility		$54.95	$102.33	$177.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $104.71 / $177.83	Professional		$63.10	$104.71	$177.83
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 $53.70 / $83.18 / $138.04	Professional		$53.70	$83.18	$138.04
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $75.86 / $204.17	Professional	50	$75.86	$75.86	$204.17
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $102.33 / $104.71	Professional		$100.00	$102.33	$104.71

Texas rates for HCPCS 20611