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 $575.44 / $2,187.76 / $6,025.60	Facility		$575.44	$2,187.76	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $602.56 / $1,380.38 / $1,380.38	Facility	52	$602.56	$1,380.38	$1,380.38
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,737.80	Facility	53	$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $457.09 / $1,096.48	Professional		$245.47	$457.09	$1,096.48
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $104.71 / $125.89 / $229.09	Professional	53	$104.71	$125.89	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $234.42 / $309.03	Professional		$204.17	$234.42	$309.03
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional	53	$257.04	$257.04	$257.04
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $1,380.38 / $3,019.95	Facility		$707.95	$1,380.38	$3,019.95
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $363.08 / $562.34	Professional		$204.17	$363.08	$562.34
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $1,230.27 / $4,073.80	Facility		$478.63	$1,230.27	$4,073.80
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $363.08 / $831.76	Professional		$89.13	$363.08	$831.76
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $1,023.29 / $1,023.29	Facility		$223.87	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $870.96 / $1,412.54	Facility		$467.74	$870.96	$1,412.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $478.63 / $851.14	Professional		$275.42	$478.63	$851.14
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional	53	$309.03	$309.03	$309.03
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $28,840.32 / $28,840.32	Facility		$3,715.35	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,951.21 / $2,951.21 / $2,951.21	Facility	52	$2,951.21	$2,951.21	$2,951.21
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Facility	53	$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $3,548.13 / $3,801.89	Professional		$338.84	$3,548.13	$3,801.89
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $575.44 / $2,454.71	Facility		$269.15	$575.44	$2,454.71
Moda Health Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,380.38	Facility	52	$1,047.13	$1,047.13	$1,380.38
Moda Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $1,737.80	Facility	53	$1,737.80	$1,737.80	$1,737.80
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $457.09 / $912.01	Professional		$251.19	$457.09	$912.01
Moda Health Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $100.00 / $117.49 / $229.09	Professional	53	$100.00	$117.49	$229.09
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,884.03 / $2,884.03	Facility		$1,380.38	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $812.83 / $1,737.80	Professional		$239.88	$812.83	$1,737.80
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $512.86 / $933.25	Facility		$263.03	$512.86	$933.25
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $478.63 / $912.01	Professional		$269.15	$478.63	$912.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $1,995.26 / $3,981.07	Facility		$724.44	$1,995.26	$3,981.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $407.38 / $707.95	Professional		$239.88	$407.38	$707.95
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $478.63 / $549.54	Professional		$190.55	$478.63	$549.54

Texas rates for HCPCS 45385