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 Professional Modifier Typical Low / Median / Typical High $288.40 / $1,023.29 / $1,659.59	Professional		$288.40	$1,023.29	$1,659.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $870.96 / $1,000.00	Professional		$302.00	$870.96	$1,000.00
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,318.26	Professional	50	$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $4,365.16 / $8,511.38	Facility		$2,511.89	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $794.33 / $1,380.38	Professional		$251.19	$794.33	$1,380.38
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $3,162.28 / $7,585.78	Facility		$676.08	$3,162.28	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,258.93 / $1,698.24	Professional		$1,000.00	$1,258.93	$1,698.24
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $1,621.81 / $1,621.81	Facility		$239.88	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $977.24 / $2,398.83	Professional		$309.03	$977.24	$2,398.83
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,120.11 / $50,118.72 / $50,118.72	Facility		$9,120.11	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,513.56 / $5,495.41	Facility		$338.84	$1,513.56	$5,495.41
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $1,071.52 / $1,905.46	Professional		$309.03	$1,071.52	$1,905.46
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $891.25 / $2,041.74	Professional		$275.42	$891.25	$2,041.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $1,071.52 / $2,691.53	Facility		$302.00	$1,071.52	$2,691.53
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $977.24 / $2,344.23	Professional		$309.03	$977.24	$2,344.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $4,786.30 / $9,120.11	Facility		$1,737.80	$4,786.30	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $812.83 / $2,089.30	Professional		$263.03	$812.83	$2,089.30
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $1,000.00	Professional		$933.25	$933.25	$1,000.00

Texas rates for HCPCS 36478