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 $812.83 / $3,467.37 / $10,964.78	Facility		$812.83	$3,467.37	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $616.60 / $1,148.15	Professional		$218.78	$616.60	$1,148.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $194.98 / $323.59	Professional		$117.49	$194.98	$323.59
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,511.89 / $5,011.87	Facility		$1,380.38	$2,511.89	$5,011.87
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $512.86 / $891.25	Professional		$181.97	$512.86	$891.25
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $2,137.96 / $5,495.41	Facility		$1,288.25	$2,137.96	$5,495.41
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $316.23 / $380.19	Professional		$218.78	$316.23	$380.19
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $1,318.26 / $1,318.26	Facility		$199.53	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,513.56 / $1,949.84	Facility		$537.03	$1,513.56	$1,949.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $501.19 / $1,230.27	Professional		$251.19	$501.19	$1,230.27
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $5,370.32 / $5,370.32 / $5,370.32	Facility	52	$5,370.32	$5,370.32	$5,370.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5,011.87 / $5,888.44 / $5,888.44	Professional		$5,011.87	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $758.58 / $2,344.23	Facility		$223.87	$758.58	$2,344.23
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $660.69 / $1,318.26	Professional		$218.78	$660.69	$1,318.26
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $1,071.52 / $2,041.74	Professional		$5.01	$1,071.52	$2,041.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $676.08 / $1,380.38	Facility		$218.78	$676.08	$1,380.38
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $524.81 / $1,318.26	Professional		$245.47	$524.81	$1,318.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $1,995.26 / $3,981.07	Facility		$741.31	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $524.81 / $1,071.52	Professional		$208.93	$524.81	$1,071.52
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $758.58 / $870.96	Professional		$169.82	$758.58	$870.96

Texas rates for HCPCS 43270