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. Small sample — interpret with caution. 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 $12.02 / $12.02 / $52.48	Facility	$12.02	$12.02	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $5.01 / $275.42	Professional	$5.01	$5.01	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $75.86 / $89.13	Professional	$6.03	$75.86	$89.13
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1.23 / $3.09 / $7.59	Facility	$1.23	$3.09	$7.59
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $10.96	Facility	$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $28.18 / $35.48	Professional	$25.12	$28.18	$35.48
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $85.11	Facility	$50.12	$50.12	$85.11
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $19.05 / $52.48	Facility	$12.02	$19.05	$52.48
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $5.01 / $60,255.96	Professional	$4.90	$5.01	$60,255.96
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $17.78 / $17.78	Professional	$11.48	$17.78	$17.78
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Facility	$19.05	$19.05	$19.05
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $2,398,832.92	Professional	$12.02	$12.02	$2,398,832.92
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $8.91 / $12.88	Facility	$7.59	$8.91	$12.88
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.51 / $14.79	Professional	$8.32	$8.51	$14.79

Texas rates for HCPCS 80363