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 $489.78 / $2,511.89 / $7,079.46	Facility		$489.78	$2,511.89	$7,079.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $302.00 / $676.08	Professional		$141.25	$302.00	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $131.83 / $389.05	Professional		$66.07	$131.83	$389.05
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $3,981.07 / $8,128.31	Facility		$2,187.76	$3,981.07	$8,128.31
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $295.12 / $489.78	Professional		$138.04	$295.12	$489.78
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $3,235.94 / $7,244.36	Facility		$537.03	$3,235.94	$7,244.36
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $2,041.74 / $2,041.74	Facility		$131.83	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $4,570.88 / $4,570.88	Facility		$2,398.83	$4,570.88	$4,570.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $331.13 / $562.34	Professional		$165.96	$331.13	$562.34
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,772.37 / $19,498.45 / $19,498.45	Facility		$9,772.37	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Facility	53	$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $407.38 / $4,168.69	Facility		$173.78	$407.38	$4,168.69
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $316.23 / $616.60	Professional		$147.91	$316.23	$616.60
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $616.60 / $1,000.00	Professional		$3.98	$616.60	$1,000.00
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $316.23 / $602.56	Facility		$147.91	$316.23	$602.56
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $331.13 / $588.84	Professional		$162.18	$331.13	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $3,630.78 / $7,244.36	Facility		$1,445.44	$3,630.78	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $257.04 / $446.68	Professional		$151.36	$257.04	$446.68
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13

Texas rates for HCPCS 58555