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 $707.95 / $2,884.03 / $6,918.31	Facility	$707.95	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $218.78 / $380.19	Professional	$141.25	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $138.04 / $218.78	Professional	$128.82	$138.04	$218.78
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $1,122.02 / $3,162.28	Facility	$602.56	$1,122.02	$3,162.28
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $204.17 / $323.59	Professional	$131.83	$204.17	$323.59
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $295.12 / $776.25	Facility	$141.25	$295.12	$776.25
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $257.04 / $363.08	Professional	$213.80	$257.04	$363.08
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility	$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Facility	$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $251.19 / $407.38	Professional	$162.18	$251.19	$407.38
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $28,840.32 / $28,840.32	Facility	$2,187.76	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $1,862.09 / $1,862.09	Professional	$1,737.80	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $316.23 / $3,715.35	Facility	$147.91	$316.23	$3,715.35
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $239.88 / $426.58	Professional	$144.54	$239.88	$426.58
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $112.20	Professional	$32.36	$33.11	$112.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $436.52 / $575.44	Professional	$3.02	$436.52	$575.44
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $245.47 / $446.68	Facility	$141.25	$245.47	$446.68
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $245.47 / $407.38	Professional	$158.49	$245.47	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $3,311.31 / $7,244.36	Facility	$891.25	$3,311.31	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $346.74	Professional	$131.83	$208.93	$346.74
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $234.42 / $234.42	Professional	$218.78	$234.42	$234.42

Texas rates for HCPCS 54160