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 $416.87 / $1,995.26 / $5,888.44	Facility		$416.87	$1,995.26	$5,888.44
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,288.25 / $1,288.25 / $1,288.25	Facility	52	$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $169.82 / $501.19	Professional		$69.18	$169.82	$501.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $66.07 / $91.20	Professional		$33.11	$66.07	$91.20
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $1,148.15 / $2,344.23	Facility		$436.52	$1,148.15	$2,344.23
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $218.78 / $354.81	Professional		$66.07	$218.78	$354.81
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $933.25 / $2,089.30	Facility		$398.11	$933.25	$2,089.30
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $100.00 / $177.83	Professional		$72.44	$100.00	$177.83
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $501.19 / $501.19	Facility		$66.07	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $676.08 / $1,023.29	Facility		$354.81	$676.08	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $194.98 / $446.68	Professional		$79.43	$194.98	$446.68
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $19,498.45 / $19,498.45	Facility		$2,884.03	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,344.23 / $2,344.23	Professional		$1,995.26	$2,344.23	$2,344.23
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $223.87 / $977.24	Facility		$74.13	$223.87	$977.24
Moda Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,288.25 / $1,288.25 / $1,288.25	Facility	52	$1,288.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $169.82 / $537.03	Professional		$70.79	$169.82	$537.03
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 $1,445.44 / $2,137.96 / $3,311.31	Facility		$1,445.44	$2,137.96	$3,311.31
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $354.81 / $1,148.15	Professional		$141.25	$354.81	$1,148.15
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $190.55 / $478.63	Facility		$72.44	$190.55	$478.63
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $194.98 / $489.78	Professional		$79.43	$194.98	$489.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $1,412.54 / $3,467.37	Facility		$436.52	$1,412.54	$3,467.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $151.36 / $338.84	Professional		$66.07	$151.36	$338.84
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $309.03 / $346.74	Professional		$54.95	$309.03	$346.74

Texas rates for HCPCS 45331