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 $776.25 / $3,162.28 / $6,918.31	Facility	$776.25	$3,162.28	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $812.83	Professional	$181.97	$251.19	$812.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $194.98 / $229.09	Professional	$114.82	$194.98	$229.09
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $2,884.03 / $5,888.44	Facility	$1,659.59	$2,884.03	$5,888.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $190.55 / $302.00	Professional	$162.18	$190.55	$302.00
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $2,290.87 / $5,754.40	Facility	$676.08	$2,290.87	$5,754.40
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $177.83 / $436.52	Professional	$89.13	$177.83	$436.52
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $1,698.24 / $1,698.24	Facility	$177.83	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $416.87	Professional	$199.53	$263.03	$416.87
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,623.41 / $28,840.32 / $28,840.32	Facility	$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $1,659.59 / $1,659.59	Professional	$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $707.95 / $5,495.41	Facility	$204.17	$707.95	$5,495.41
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $275.42 / $537.03	Professional	$190.55	$275.42	$537.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $154.88	Professional	$32.36	$33.11	$154.88
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,370.32 / $5,623.41 / $5,623.41	Facility	$5,370.32	$5,623.41	$5,623.41
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $371.54 / $489.78	Professional	$3.02	$371.54	$489.78
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $257.04 / $436.52	Facility	$181.97	$257.04	$436.52
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $416.87	Professional	$199.53	$263.03	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $3,311.31 / $7,244.36	Facility	$1,445.44	$3,311.31	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $223.87 / $346.74	Professional	$158.49	$223.87	$346.74
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $186.21 / $186.21	Professional	$173.78	$186.21	$186.21

Texas rates for HCPCS 54161