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 $44.67 / $52.48 / $380.19	Facility		$44.67	$52.48	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $40.74 / $61.66	Professional		$19.05	$40.74	$61.66
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $95.50 / $95.50	Professional	25	$64.57	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.39 / $29.51	Professional		$18.20	$22.39	$29.51
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $22.39 / $30.90	Professional		$14.45	$22.39	$30.90
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $26.92 / $38.02	Professional		$19.50	$26.92	$38.02
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $100.00 / $186.21	Facility		$24.55	$100.00	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $29.51 / $63.10	Professional		$19.05	$29.51	$63.10
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $407.38	Professional		$234.42	$234.42	$407.38
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $40.74 / $61.66	Facility		$24.55	$40.74	$61.66
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $41.69 / $57.54	Professional		$19.95	$41.69	$57.54
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $64.57 / $95.50	Professional	25	$64.57	$64.57	$95.50
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $20.42 / $32.36	Professional		$14.13	$20.42	$32.36
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $51.29	Professional		$26.30	$39.81	$51.29
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $39.81 / $61.66	Facility		$23.99	$39.81	$61.66
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.84 / $67.61	Professional		$19.05	$28.84	$67.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $39.81 / $39.81	Facility		$35.48	$39.81	$39.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $33.11 / $48.98	Professional		$21.38	$33.11	$48.98
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $30.90 / $37.15	Professional		$19.05	$30.90	$37.15

Texas rates for HCPCS 90853