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 / $3,162.28 / $12,022.64	Facility		$524.81	$3,162.28	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $151.36 / $295.12	Professional		$128.82	$151.36	$295.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $138.04 / $234.42	Professional		$120.23	$138.04	$234.42
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $218.78	Professional		$131.83	$162.18	$218.78
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $1,258.93 / $7,943.28	Facility		$512.86	$1,258.93	$7,943.28
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $181.97 / $239.88	Professional		$138.04	$181.97	$239.88
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $138.04 / $138.04	Facility		$120.23	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility	AS	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $302.00	Professional		$141.25	$194.98	$302.00
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $891.25	Facility		$54.95	$56.23	$891.25
Lucent Health Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,905.46	Professional		$1,318.26	$1,318.26	$1,905.46
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $302.00 / $4,677.35	Facility		$134.90	$302.00	$4,677.35
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $177.83 / $302.00	Professional		$128.82	$177.83	$302.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $186.21 / $323.59	Facility		$128.82	$186.21	$323.59
Providence Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Facility	AS	$21.88	$21.88	$21.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $194.98 / $302.00	Professional		$138.04	$194.98	$302.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $954.99 / $2,398.83	Facility		$162.18	$954.99	$2,398.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $158.49 / $251.19	Professional		$117.49	$158.49	$251.19
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $123.03 / $131.83	Professional		$120.23	$123.03	$131.83

Texas rates for HCPCS 20985