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 $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,230.27 / $4,265.80 / $10,000.00	Facility	50	$1,230.27	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $389.05 / $776.25	Professional		$316.23	$389.05	$776.25
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $263.03 / $575.44 / $1,174.90	Professional	50	$263.03	$575.44	$1,174.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $151.36 / $354.81	Professional		$144.54	$151.36	$354.81
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $229.09 / $229.09 / $295.12	Professional	50	$229.09	$229.09	$295.12
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $8,128.31 / $16,218.10	Facility		$3,801.89	$8,128.31	$16,218.10
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $302.00 / $489.78	Professional		$263.03	$302.00	$489.78
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $7,079.46 / $7,079.46	Facility		$269.15	$7,079.46	$7,079.46
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $478.63 / $776.25	Professional		$331.13	$478.63	$776.25
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13,803.84 / $42,657.95 / $42,657.95	Facility		$13,803.84	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $776.25 / $6,456.54	Facility		$323.59	$776.25	$6,456.54
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,202.26 / $4,073.80 / $10,000.00	Facility	50	$1,202.26	$4,073.80	$10,000.00
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $426.58 / $776.25	Professional		$323.59	$426.58	$776.25
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $223.87 / $549.54 / $1,174.90	Professional	50	$223.87	$549.54	$1,174.90
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 / $812.83 / $891.25	Professional		$5.01	$812.83	$891.25
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $489.78 / $851.14	Facility		$295.12	$489.78	$851.14
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $467.74 / $741.31	Professional		$331.13	$467.74	$741.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $5,248.07 / $10,232.93	Facility		$1,737.80	$5,248.07	$10,232.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $407.38 / $616.60	Professional		$288.40	$407.38	$616.60
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $281.84 / $281.84	Professional		$263.03	$281.84	$281.84

Texas rates for HCPCS 31255