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 $67.61 / $79.43 / $112.20	Facility	$67.61	$79.43	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $87.10 / $131.83	Professional	$69.18	$87.10	$131.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $93.33	Professional	$63.10	$83.18	$93.33
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $70.79 / $107.15	Professional	$45.71	$70.79	$107.15
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $102.33 / $173.78	Professional	$75.86	$102.33	$173.78
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $102.33	Facility	$72.44	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $97.72 / $134.90	Professional	$67.61	$97.72	$134.90
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility	$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $741.31 / $741.31	Professional	$588.84	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $100.00 / $154.88	Facility	$74.13	$100.00	$154.88
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $89.13 / $131.83	Professional	$70.79	$89.13	$131.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $61.66 / $77.62	Professional	$32.36	$61.66	$77.62
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $107.15 / $151.36	Professional	$89.13	$107.15	$151.36
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $154.88	Facility	$74.13	$102.33	$154.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $97.72 / $134.90	Professional	$67.61	$97.72	$134.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility	$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $100.00 / $151.36	Professional	$74.13	$100.00	$151.36
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $95.50 / $114.82	Professional	$60.26	$95.50	$114.82

Texas rates for HCPCS 96116