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 $158.49 / $3,715.35 / $12,022.64	Facility	$158.49	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $204.17	Professional	$83.18	$114.82	$204.17
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $109.65 / $467.74	Facility	$66.07	$109.65	$467.74
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $147.91	Professional	$72.44	$97.72	$147.91
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility	$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $223.87	Professional	$93.33	$138.04	$223.87
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,288.25	Facility	$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,000.00 / $1,000.00	Professional	$891.25	$1,000.00	$1,000.00
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $141.25 / $3,548.13	Facility	$89.13	$141.25	$3,548.13
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $134.90 / $223.87	Professional	$87.10	$134.90	$223.87
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $72.44	Professional	$32.36	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $154.88 / $302.00	Professional	$3.02	$154.88	$302.00
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $229.09	Facility	$85.11	$128.82	$229.09
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $223.87	Professional	$93.33	$138.04	$223.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $831.76 / $2,290.87	Facility	$162.18	$831.76	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $109.65 / $169.82	Professional	$75.86	$109.65	$169.82
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $123.03 / $123.03	Professional	$117.49	$123.03	$123.03

Texas rates for HCPCS 54200