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 / $2,454.71 / $6,918.31	Facility		$524.81	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $245.47 / $446.68	Professional		$194.98	$245.47	$446.68
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $173.78 / $691.83	Facility		$100.00	$173.78	$691.83
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $251.19 / $363.08	Professional		$199.53	$251.19	$363.08
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $338.84 / $812.83	Professional		$204.17	$338.84	$812.83
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $208.93 / $208.93	Facility		$79.43	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility	54	$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $295.12 / $478.63	Professional		$213.80	$295.12	$478.63
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,348.96	Facility		$54.95	$56.23	$1,348.96
Lucent Health Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $933.25 / $933.25 / $933.25	Facility	54	$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,778.28 / $2,137.96 / $2,137.96	Professional		$1,778.28	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $316.23 / $2,290.87	Facility		$218.78	$316.23	$2,290.87
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $316.23 / $501.19	Professional		$204.17	$316.23	$501.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $181.97 / $218.78	Professional		$32.36	$181.97	$218.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $812.83 / $1,000.00	Professional		$331.13	$812.83	$1,000.00
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $288.40 / $478.63	Facility		$213.80	$288.40	$478.63
Providence Facility/Professional Facility Modifier 54 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	54	$257.04	$257.04	$257.04
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $295.12 / $467.74	Professional		$213.80	$295.12	$467.74
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 $173.78 / $234.42 / $363.08	Professional		$173.78	$234.42	$363.08
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $269.15 / $269.15	Professional		$263.03	$269.15	$269.15

Texas rates for HCPCS 28430