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 $676.08 / $2,951.21 / $7,413.10	Facility		$676.08	$2,951.21	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,288.25 / $4,897.79 / $11,220.18	Facility	50	$1,288.25	$4,897.79	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $269.15 / $562.34	Professional		$165.96	$269.15	$562.34
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $186.21 / $478.63 / $1,148.15	Professional	50	$186.21	$478.63	$1,148.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $251.19 / $316.23	Professional		$128.82	$251.19	$316.23
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $380.19 / $537.03	Professional	50	$208.93	$380.19	$537.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $2,344.23 / $4,786.30	Facility		$1,318.26	$2,344.23	$4,786.30
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $323.59	Professional		$138.04	$208.93	$323.59
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $1,258.93 / $2,187.76	Facility		$162.18	$1,258.93	$2,187.76
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $229.09 / $346.74	Professional		$173.78	$229.09	$346.74
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $1,174.90 / $1,174.90	Facility		$141.25	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $302.00 / $537.03	Professional		$186.21	$302.00	$537.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,248.07 / $19,498.45 / $19,498.45	Facility		$5,248.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $398.11 / $3,981.07	Facility		$194.98	$398.11	$3,981.07
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,288.25 / $4,897.79 / $10,715.19	Facility	50	$1,288.25	$4,897.79	$10,715.19
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $281.84 / $501.19	Professional		$173.78	$281.84	$501.19
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $186.21 / $478.63 / $1,047.13	Professional	50	$186.21	$478.63	$1,047.13
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $660.69 / $794.33	Professional		$5.01	$660.69	$794.33
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $309.03 / $575.44	Facility		$177.83	$309.03	$575.44
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $302.00 / $524.81	Professional		$181.97	$302.00	$524.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $2,041.74 / $4,073.80	Facility		$776.25	$2,041.74	$4,073.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $426.58	Professional		$154.88	$257.04	$426.58
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	50	$89.13	$89.13	$89.13
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $263.03 / $263.03	Professional		$251.19	$263.03	$263.03

Texas rates for HCPCS 31238