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 $645.65 / $3,715.35 / $12,022.64	Facility		$645.65	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $199.53	Professional		$81.28	$120.23	$199.53
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $128.82 / $218.78 / $218.78	Professional	50	$128.82	$218.78	$218.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $123.03	Professional		$112.20	$112.20	$123.03
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	50	$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $97.72 / $436.52	Facility		$60.26	$97.72	$436.52
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $177.83	Professional		$77.62	$112.20	$177.83
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $234.42	Professional		$95.50	$141.25	$234.42
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,000.00 / $1,000.00	Professional		$870.96	$1,000.00	$1,000.00
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $151.36 / $3,548.13	Facility		$87.10	$151.36	$3,548.13
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $229.09	Professional		$85.11	$131.83	$229.09
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $128.82 / $128.82 / $218.78	Professional	50	$128.82	$128.82	$218.78
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $229.09 / $316.23	Professional		$3.02	$229.09	$316.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $138.04 / $245.47	Facility		$83.18	$138.04	$245.47
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $141.25 / $234.42	Professional		$93.33	$141.25	$234.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $1,479.11 / $3,630.78	Facility		$436.52	$1,479.11	$3,630.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $186.21	Professional		$75.86	$114.82	$186.21
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $128.82 / $128.82	Professional		$120.23	$128.82	$128.82

Texas rates for HCPCS 55000