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 $426.58 / $1,995.26 / $6,918.31	Facility		$426.58	$1,995.26	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $245.47 / $1,584.89 / $5,888.44	Facility	50	$245.47	$1,584.89	$5,888.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $478.63 / $1,174.90	Professional		$169.82	$478.63	$1,174.90
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $123.03 / $218.78	Professional	50	$123.03	$123.03	$218.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $151.36 / $363.08	Professional		$75.86	$151.36	$363.08
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $4,365.16 / $9,549.93	Facility		$1,023.29	$4,365.16	$9,549.93
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $562.34 / $1,148.15	Professional		$154.88	$562.34	$1,148.15
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $2,238.72 / $6,165.95	Facility		$125.89	$2,238.72	$6,165.95
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $229.09 / $338.84	Professional		$181.97	$229.09	$338.84
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $537.03 / $537.03	Facility		$151.36	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $398.11 / $1,445.44	Professional		$194.98	$398.11	$1,445.44
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,754.40 / $6,760.83 / $6,760.83	Professional		$5,754.40	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $1,047.13 / $4,168.69	Facility		$208.93	$1,047.13	$4,168.69
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $245.47 / $3,890.45 / $12,589.25	Facility	50	$245.47	$3,890.45	$12,589.25
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $776.25 / $1,513.56	Professional		$186.21	$776.25	$1,513.56
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $123.03 / $218.78	Professional	50	$123.03	$123.03	$218.78
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $602.56 / $2,951.21	Professional		$151.36	$602.56	$2,951.21
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $630.96 / $1,621.81	Facility		$190.55	$630.96	$1,621.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $407.38 / $1,479.11	Professional		$186.21	$407.38	$1,479.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $954.99 / $2,290.87	Facility		$162.18	$954.99	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $575.44 / $1,288.25	Professional		$158.49	$575.44	$1,288.25
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $812.83	Professional		$776.25	$776.25	$812.83

Texas rates for HCPCS 36012