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 $389.05 / $1,230.27 / $5,495.41	Facility		$389.05	$1,230.27	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $269.15 / $1,905.46 / $1,905.46	Facility	50	$269.15	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $109.65 / $229.09	Professional		$60.26	$109.65	$229.09
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $537.03 / $537.03 / $549.54	Professional	50	$537.03	$537.03	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $66.07 / $83.18	Professional		$61.66	$66.07	$83.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $1,288.25 / $2,630.27	Facility		$676.08	$1,288.25	$2,630.27
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $107.15 / $165.96	Professional		$56.23	$107.15	$165.96
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $758.58 / $4,073.80	Facility		$61.66	$758.58	$4,073.80
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $109.65 / $602.56	Professional		$66.07	$109.65	$602.56
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $74.13 / $74.13	Facility		$66.07	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $123.03 / $218.78	Professional		$72.44	$123.03	$218.78
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,754.23 / $19,498.45 / $19,498.45	Facility		$2,754.23	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $1,513.56 / $1,513.56	Professional		$93.33	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $177.83 / $2,630.27	Facility		$75.86	$177.83	$2,630.27
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Facility	50	$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $123.03 / $275.42	Professional		$63.10	$123.03	$275.42
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 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 $169.82 / $245.47 / $575.44	Professional		$169.82	$245.47	$575.44
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $134.90 / $245.47	Facility		$69.18	$134.90	$245.47
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $123.03 / $213.80	Professional		$70.79	$123.03	$213.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $1,513.56 / $3,630.78	Facility		$436.52	$1,513.56	$3,630.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $100.00 / $177.83	Professional		$57.54	$100.00	$177.83
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $154.88 / $154.88	Professional		$147.91	$154.88	$154.88

Texas rates for HCPCS 64415