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 $812.83 / $3,235.94 / $11,748.98	Facility		$812.83	$3,235.94	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,819.70 / $2,570.40 / $3,630.78	Facility	50	$1,819.70	$2,570.40	$3,630.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $363.08	Professional		$134.90	$162.18	$363.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $4,168.69 / $7,762.47	Facility		$2,089.30	$4,168.69	$7,762.47
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $173.78 / $239.88	Professional		$138.04	$173.78	$239.88
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $199.53 / $323.59	Professional		$154.88	$199.53	$323.59
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,317.64 / $45,708.82 / $45,708.82	Facility		$8,317.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,288.25 / $1,288.25	Professional		$1,122.02	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $316.23 / $4,677.35	Facility		$147.91	$316.23	$4,677.35
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,819.70 / $2,570.40 / $7,943.28	Facility	50	$1,819.70	$2,570.40	$7,943.28
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $199.53 / $354.81	Professional		$144.54	$199.53	$354.81
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $302.00 / $398.11	Professional		$3.98	$302.00	$398.11
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $323.59	Facility		$141.25	$194.98	$323.59
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $199.53 / $323.59	Professional		$151.36	$199.53	$323.59
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $2,290.87 / $4,466.84	Facility		$776.25	$2,290.87	$4,466.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $257.04	Professional		$120.23	$165.96	$257.04
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25

Texas rates for HCPCS 69421