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 $707.95 / $2,951.21 / $7,943.28	Facility		$707.95	$2,951.21	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,073.80 / $4,073.80 / $4,073.80	Facility	50	$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $323.59 / $588.84	Professional		$181.97	$323.59	$588.84
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Professional	50	$1,023.29	$1,023.29	$1,023.29
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $3,090.30 / $5,888.44	Facility		$1,698.24	$3,090.30	$5,888.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $281.84 / $478.63	Professional		$165.96	$281.84	$478.63
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $251.19 / $363.08	Professional		$186.21	$251.19	$363.08
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $2,454.71 / $2,454.71	Facility		$154.88	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,258.93 / $1,318.26	Facility		$1,258.93	$1,258.93	$1,318.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $331.13 / $512.86	Professional		$190.55	$331.13	$512.86
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,165.95 / $28,840.32 / $28,840.32	Facility		$6,165.95	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,454.71 / $2,691.53 / $2,691.53	Professional		$2,454.71	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $398.11 / $3,890.45	Facility		$186.21	$398.11	$3,890.45
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $346.74 / $630.96	Professional		$186.21	$346.74	$630.96
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $1,023.29 / $1,023.29 / $1,023.29	Professional	50	$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $316.23 / $380.19	Professional		$165.96	$316.23	$380.19
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $323.59 / $512.86	Facility		$169.82	$323.59	$512.86
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $331.13 / $512.86	Professional		$190.55	$331.13	$512.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $3,548.13 / $7,244.36	Facility		$1,380.38	$3,548.13	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $407.38	Professional		$158.49	$257.04	$407.38
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 68115