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 $16.60 / $75.86 / $398.11	Facility	$16.60	$75.86	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.02 / $16.98	Professional	$7.94	$12.02	$16.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $8.51 / $13.80	Professional	$6.61	$8.51	$13.80
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $41.69 / $79.43	Facility	$15.14	$41.69	$79.43
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $9.12 / $12.02	Professional	$5.01	$9.12	$12.02
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $20.42 / $501.19	Facility	$13.18	$20.42	$501.19
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $13.80 / $23.44	Professional	$9.55	$13.80	$23.44
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.80	Facility	$13.49	$13.49	$13.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $30.20 / $74.13	Facility	$15.85	$30.20	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $10.00 / $22.91	Professional	$7.76	$10.00	$22.91
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Facility	$95.50	$95.50	$95.50
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $19.95 / $22.39	Professional	$12.30	$19.95	$22.39
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.72 / $18.62 / $288.40	Facility	$10.72	$18.62	$288.40
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.30 / $23.99	Professional	$7.94	$12.30	$23.99
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $11.48 / $11.48	Professional	$10.23	$11.48	$11.48
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $239.88 / $263.03	Facility	$102.33	$239.88	$263.03
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $13.80 / $39.81	Facility	$10.96	$13.80	$39.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $10.00 / $22.91	Professional	$7.76	$10.00	$22.91
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.17 / $13.80 / $16.60	Facility	$6.17	$13.80	$16.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $8.13 / $19.05	Professional	$5.75	$8.13	$19.05
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $7.08 / $9.55	Professional	$5.37	$7.08	$9.55

Texas rates for HCPCS 80197