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 $48.98 / $208.93 / $741.31	Facility	$48.98	$208.93	$741.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $52.48 / $112.20	Professional	$39.81	$52.48	$112.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	$39.81	$39.81	$39.81
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $208.93 / $346.74	Facility	$81.28	$208.93	$346.74
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $36.31 / $89.13	Professional	$5.01	$36.31	$89.13
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $102.33 / $389.05	Facility	$60.26	$102.33	$389.05
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $107.15	Professional	$58.88	$81.28	$107.15
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility	$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $144.54 / $295.12	Facility	$45.71	$144.54	$295.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $120.23	Professional	$33.11	$52.48	$120.23
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	$309.03	$309.03	$309.03
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $489.78 / $489.78	Professional	$331.13	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $74.13 / $302.00	Facility	$48.98	$74.13	$302.00
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $58.88 / $97.72	Professional	$36.31	$58.88	$97.72
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $66.07	Professional	$54.95	$54.95	$66.07
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,258.93	Facility	$1,122.02	$1,122.02	$1,258.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $70.79 / $141.25	Professional	$66.07	$70.79	$141.25
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $72.44 / $239.88	Facility	$46.77	$72.44	$239.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $67.61 / $114.82	Professional	$33.88	$67.61	$114.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $66.07 / $79.43	Facility	$27.54	$66.07	$79.43
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $28.18 / $67.61	Professional	$27.54	$28.18	$67.61
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $45.71 / $66.07	Professional	$25.70	$45.71	$66.07

Texas rates for HCPCS 81240