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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $25.12 / $72.44	Facility	$10.00	$25.12	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $16.98	Professional	$7.94	$10.96	$16.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.46 / $9.33 / $13.49	Professional	$6.46	$9.33	$13.49
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $42.66 / $75.86	Facility	$14.79	$42.66	$75.86
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $7.41 / $13.49	Professional	$5.01	$7.41	$13.49
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $19.05 / $25.12	Facility	$12.59	$19.05	$25.12
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $13.80 / $21.88	Professional	$9.55	$13.80	$21.88
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $13.80 / $13.80	Facility	$13.49	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $29.51 / $69.18	Facility	$13.49	$29.51	$69.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $10.96 / $23.99	Professional	$7.76	$10.96	$23.99
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $85.11	Facility	$64.57	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	$26.92	$26.92	$26.92
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.23 / $13.49 / $52.48	Facility	$10.23	$13.49	$52.48
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.02 / $21.38	Professional	$7.94	$12.02	$21.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $11.48 / $11.48	Professional	$10.23	$11.48	$11.48
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $13.49 / $39.81	Facility	$10.47	$13.49	$39.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $10.96 / $23.44	Professional	$7.76	$10.96	$23.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.03 / $13.49 / $16.22	Facility	$6.03	$13.49	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $7.76 / $18.62	Professional	$5.75	$7.76	$18.62
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $7.08 / $13.49	Professional	$5.25	$7.08	$13.49

Texas rates for HCPCS 80165