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 $870.96 / $3,548.13 / $12,022.64	Facility		$870.96	$3,548.13	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,174.90 / $3,890.45 / $9,772.37	Facility	50	$1,174.90	$3,890.45	$9,772.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $354.81 / $676.08	Professional		$229.09	$354.81	$676.08
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $354.81 / $707.95	Professional	50	$102.33	$354.81	$707.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $128.82 / $141.25	Professional		$102.33	$128.82	$141.25
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $204.17 / $316.23	Professional	50	$173.78	$204.17	$316.23
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $8,128.31 / $16,218.10	Facility		$3,630.78	$8,128.31	$16,218.10
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $354.81 / $537.03	Professional		$199.53	$354.81	$537.03
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $588.84 / $588.84	Professional		$295.12	$588.84	$588.84
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $6,918.31 / $6,918.31	Facility		$204.17	$6,918.31	$6,918.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $436.52 / $707.95	Professional		$263.03	$436.52	$707.95
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $45,708.82 / $45,708.82	Facility		$13,803.84	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $562.34 / $4,786.30	Facility		$275.42	$562.34	$4,786.30
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,122.02 / $3,715.35 / $9,772.37	Facility	50	$1,122.02	$3,715.35	$9,772.37
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $446.68 / $794.33	Professional		$245.47	$446.68	$794.33
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $354.81 / $707.95	Professional	50	$102.33	$354.81	$707.95
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 $5.01 / $549.54 / $1,174.90	Professional		$5.01	$549.54	$1,174.90
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $426.58 / $812.83	Facility		$239.88	$426.58	$812.83
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $436.52 / $741.31	Professional		$257.04	$436.52	$741.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $4,265.80 / $7,585.78	Facility		$1,445.44	$4,265.80	$7,585.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $346.74 / $616.60	Professional		$223.87	$346.74	$616.60
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $446.68 / $446.68	Professional		$416.87	$446.68	$446.68

Texas rates for HCPCS 31254