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 $112.20 / $125.89 / $229.09	Facility		$112.20	$125.89	$229.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $138.04 / $269.15	Professional		$74.13	$138.04	$269.15
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $125.89 / $199.53 / $338.84	Professional	25	$125.89	$199.53	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $144.54 / $177.83	Professional		$131.83	$144.54	$177.83
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $134.90 / $144.54 / $173.78	Professional	25	$134.90	$144.54	$173.78
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $354.81 / $426.58	Facility		$72.44	$354.81	$426.58
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $120.23 / $181.97	Professional		$74.13	$120.23	$181.97
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $158.49 / $223.87	Professional		$91.20	$158.49	$223.87
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $117.49 / $144.54	Facility		$77.62	$117.49	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $141.25 / $239.88	Professional		$85.11	$141.25	$239.88
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $239.88 / $1,202.26	Professional		$123.03	$239.88	$1,202.26
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $199.53	Facility		$75.86	$125.89	$199.53
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $123.03 / $239.88	Professional		$72.44	$123.03	$239.88
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $199.53 / $338.84	Professional	25	$114.82	$199.53	$338.84
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $79.43 / $125.89	Professional		$32.36	$79.43	$125.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $147.91 / $295.12	Professional		$77.62	$147.91	$295.12
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $199.53	Facility		$75.86	$125.89	$199.53
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $144.54 / $239.88	Professional		$91.20	$144.54	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $173.78	Professional		$74.13	$114.82	$173.78
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $75.86 / $151.36	Professional		$50.12	$75.86	$151.36

Texas rates for HCPCS 92004