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 $74.13 / $1,584.89 / $6,165.95	Facility		$74.13	$1,584.89	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $20.89 / $60.26	Professional		$12.59	$20.89	$60.26
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $19.95 / $38.90 / $97.72	Professional	50	$19.95	$38.90	$97.72
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $25.12 / $114.82	Professional	52	$12.30	$25.12	$114.82
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $16.98 / $16.98 / $16.98	Professional	53	$16.98	$16.98	$16.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.85 / $23.44	Professional		$12.30	$15.85	$23.44
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $17.78 / $23.99 / $35.48	Professional	50	$17.78	$23.99	$35.48
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $93.33 / $204.17	Facility		$54.95	$93.33	$204.17
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.14 / $23.99	Professional		$12.88	$15.14	$23.99
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $81.28 / $100.00	Facility		$14.45	$81.28	$100.00
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $22.91 / $30.90	Professional		$16.60	$22.91	$30.90
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $18.20 / $18.20	Facility		$16.22	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $18.62 / $30.20	Professional		$14.45	$18.62	$30.20
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $97.72	Facility		$54.95	$56.23	$97.72
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $134.90 / $134.90	Professional		$112.20	$134.90	$134.90
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $199.53 / $4,073.80	Facility		$15.85	$199.53	$4,073.80
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $22.39 / $41.69	Professional		$13.49	$22.39	$41.69
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.42 / $39.81 / $95.50	Professional	50	$20.42	$39.81	$95.50
Moda Health Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $13.80 / $25.12	Professional	52	$12.30	$13.80	$25.12
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $32.36 / $33.11	Professional		$13.18	$32.36	$33.11
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $602.56	Facility		$489.78	$489.78	$602.56
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $41.69	Professional		$19.05	$19.05	$41.69
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $18.62 / $31.62	Facility		$13.80	$18.62	$31.62
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $18.62 / $30.90	Professional		$14.45	$18.62	$30.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $831.76 / $2,290.87	Facility		$95.50	$831.76	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $15.14 / $24.55	Professional		$10.96	$15.14	$24.55
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $33.11 / $33.11 / $85.11	Professional	50	$33.11	$33.11	$85.11
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $16.98 / $16.98	Professional		$16.22	$16.98	$16.98

Texas rates for HCPCS 69209