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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $2,344.23 / $6,918.31	Facility	$537.03	$2,344.23	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $199.53 / $338.84	Professional	$117.49	$199.53	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $173.78 / $234.42	Professional	$70.79	$173.78	$234.42
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $2,238.72 / $4,265.80	Facility	$1,288.25	$2,238.72	$4,265.80
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $186.21 / $295.12	Professional	$112.20	$186.21	$295.12
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,659.59 / $3,715.35	Facility	$537.03	$1,659.59	$3,715.35
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $102.33	Facility	$81.28	$81.28	$102.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Facility	$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $371.54	Professional	$134.90	$223.87	$371.54
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,168.69 / $19,498.45 / $19,498.45	Facility	$4,168.69	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,548.13 / $3,548.13 / $3,548.13	Professional	$3,548.13	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $263.03 / $3,548.13	Facility	$123.03	$263.03	$3,548.13
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $204.17 / $380.19	Professional	$120.23	$204.17	$380.19
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $162.18	Professional	$32.36	$33.11	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $398.11 / $537.03	Professional	$3.02	$398.11	$537.03
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $208.93 / $380.19	Facility	$112.20	$208.93	$380.19
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $371.54	Professional	$134.90	$223.87	$371.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $2,041.74 / $4,073.80	Facility	$776.25	$2,041.74	$4,073.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $177.83 / $302.00	Professional	$109.65	$177.83	$302.00
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $204.17 / $204.17	Professional	$194.98	$204.17	$204.17

Texas rates for HCPCS 54100