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 $512.86 / $1,819.70 / $4,677.35	Facility		$512.86	$1,819.70	$4,677.35
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $123.03 / $1,071.52 / $1,230.27	Facility	52	$123.03	$1,071.52	$1,230.27
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Facility	53	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $251.19 / $630.96	Professional		$114.82	$251.19	$630.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $125.89 / $309.03	Professional		$102.33	$125.89	$309.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $1,258.93 / $2,630.27	Facility		$741.31	$1,258.93	$2,630.27
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $218.78 / $354.81	Professional		$107.15	$218.78	$354.81
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $1,000.00 / $3,715.35	Facility		$446.68	$1,000.00	$3,715.35
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $141.25 / $323.59	Professional		$67.61	$141.25	$323.59
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $549.54 / $549.54	Facility		$109.65	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $707.95 / $1,023.29	Facility		$354.81	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $281.84 / $501.19	Professional		$138.04	$281.84	$501.19
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,818.38 / $19,498.45 / $19,498.45	Facility		$2,818.38	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility	53	$562.34	$562.34	$562.34
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 $131.83 / $346.74 / $1,905.46	Facility		$131.83	$346.74	$1,905.46
Moda Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $123.03 / $1,071.52 / $1,230.27	Facility	52	$123.03	$1,071.52	$1,230.27
Moda Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $2,454.71	Facility	53	$2,454.71	$2,454.71	$2,454.71
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $269.15 / $562.34	Professional		$120.23	$269.15	$562.34
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $2,951.21 / $4,677.35	Facility		$1,202.26	$2,951.21	$4,677.35
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $363.08 / $758.58	Professional		$117.49	$363.08	$758.58
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $302.00 / $562.34	Facility		$125.89	$302.00	$562.34
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $288.40 / $537.03	Professional		$134.90	$288.40	$537.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,905.46 / $3,981.07	Facility		$724.44	$1,905.46	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $229.09 / $416.87	Professional		$114.82	$229.09	$416.87
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $309.03 / $346.74	Professional		$93.33	$309.03	$346.74

Texas rates for HCPCS 43235