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 $616.60 / $2,137.96 / $4,897.79	Facility		$616.60	$2,137.96	$4,897.79
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $331.13 / $1,174.90 / $1,513.56	Facility	52	$331.13	$1,174.90	$1,513.56
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $89.13 / $173.78 / $1,202.26	Facility	53	$89.13	$173.78	$1,202.26
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $354.81 / $954.99	Professional		$181.97	$354.81	$954.99
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $83.18 / $144.54 / $257.04	Professional	53	$83.18	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $177.83 / $316.23	Professional		$158.49	$177.83	$316.23
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $63.10 / $85.11 / $100.00	Professional	53	$63.10	$85.11	$100.00
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,230.27 / $2,570.40	Facility		$758.58	$1,230.27	$2,570.40
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $275.42 / $426.58	Professional		$158.49	$275.42	$426.58
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $776.25 / $2,691.53	Facility		$194.98	$776.25	$2,691.53
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $213.80 / $501.19	Professional		$53.70	$213.80	$501.19
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $870.96 / $870.96	Facility		$165.96	$870.96	$870.96
Christus Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $81.28 / $83.18 / $181.97	Facility	53	$81.28	$83.18	$181.97
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $707.95 / $1,412.54	Facility		$467.74	$707.95	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $354.81 / $630.96	Professional		$204.17	$354.81	$630.96
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $81.28 / $162.18 / $295.12	Professional	53	$81.28	$162.18	$295.12
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $28,840.32 / $28,840.32	Facility		$2,884.03	$28,840.32	$28,840.32
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 $245.47 / $2,818.38 / $2,884.03	Professional		$245.47	$2,818.38	$2,884.03
Lucent Health Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $120.23 / $120.23 / $251.19	Professional	53	$120.23	$120.23	$251.19
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $436.52 / $2,454.71	Facility		$199.53	$436.52	$2,454.71
Moda Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $331.13 / $933.25 / $1,513.56	Facility	52	$331.13	$933.25	$1,513.56
Moda Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $91.20 / $169.82 / $251.19	Facility	53	$91.20	$169.82	$251.19
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $346.74 / $741.31	Professional		$181.97	$346.74	$741.31
Moda Health Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $87.10 / $154.88 / $269.15	Professional	53	$87.10	$154.88	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,951.21 / $4,265.80	Facility		$1,380.38	$2,951.21	$4,265.80
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $389.05 / $912.01	Professional		$151.36	$389.05	$912.01
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $380.19 / $707.95	Facility		$190.55	$380.19	$707.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $363.08 / $676.08	Professional		$204.17	$363.08	$676.08
Providence Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $79.43 / $173.78 / $363.08	Professional	53	$79.43	$173.78	$363.08
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 $173.78 / $302.00 / $524.81	Professional		$173.78	$302.00	$524.81
United Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $104.71 / $181.97 / $346.74	Professional	53	$104.71	$181.97	$346.74
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $380.19 / $457.09	Professional		$302.00	$380.19	$457.09
Wellpoint Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $141.25 / $229.09 / $398.11	Professional	53	$141.25	$229.09	$398.11

Texas rates for HCPCS 45378