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 $707.95 / $2,951.21 / $7,079.46	Facility		$707.95	$2,951.21	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $4,677.35	Facility	50	$3,162.28	$3,162.28	$4,677.35
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $263.03 / $457.09	Professional		$144.54	$263.03	$457.09
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $457.09 / $630.96 / $2,398.83	Professional	50	$457.09	$630.96	$2,398.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $208.93 / $524.81	Professional	50	$208.93	$208.93	$524.81
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $371.54 / $2,630.27	Facility		$181.97	$371.54	$2,630.27
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $245.47 / $416.87	Professional		$141.25	$245.47	$416.87
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $1,819.70 / $2,511.89	Facility		$302.00	$1,819.70	$2,511.89
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $389.05	Professional		$204.17	$204.17	$389.05
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $302.00 / $501.19	Professional		$162.18	$302.00	$501.19
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,096.48	Facility		$54.95	$56.23	$1,096.48
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,398.83 / $2,398.83	Professional		$2,041.74	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $389.05 / $4,265.80	Facility		$162.18	$389.05	$4,265.80
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $4,677.35	Facility	50	$3,162.28	$3,162.28	$4,677.35
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $288.40 / $524.81	Professional		$154.88	$288.40	$524.81
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $457.09 / $602.56 / $645.65	Professional	50	$457.09	$602.56	$645.65
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 $6.03 / $389.05 / $758.58	Professional		$6.03	$389.05	$758.58
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $281.84 / $524.81	Facility		$141.25	$281.84	$524.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $295.12 / $501.19	Professional		$158.49	$295.12	$501.19
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 $138.04 / $234.42 / $407.38	Professional		$138.04	$234.42	$407.38
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40

Texas rates for HCPCS 31573