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 $5.37 / $60.26 / $97.72	Facility		$5.37	$60.26	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $8.71 / $36.31	Professional		$3.98	$8.71	$36.31
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $4.47 / $15.85 / $34.67	Professional	25	$4.47	$15.85	$34.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $4.68 / $5.89	Professional		$3.63	$4.68	$5.89
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $91.20 / $123.03	Facility		$30.20	$91.20	$123.03
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2.69 / $3.80 / $5.75	Professional		$2.69	$3.80	$5.75
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $5.25 / $7.94	Professional		$4.47	$5.25	$7.94
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.47 / $4.47 / $4.79	Facility		$4.47	$4.47	$4.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.98 / $7.08	Professional		$3.02	$3.98	$7.08
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $85.11	Facility		$70.79	$70.79	$85.11
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $29.51 / $40.74	Professional		$5.37	$29.51	$40.74
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $5.37 / $8.32	Facility		$4.27	$5.37	$8.32
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $5.37 / $21.38	Professional		$3.98	$5.37	$21.38
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $4.47 / $15.85 / $83.18	Professional	25	$4.47	$15.85	$83.18
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.79 / $8.51 / $11.48	Professional		$4.79	$8.51	$11.48
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $5.25 / $8.32	Facility		$4.27	$5.25	$8.32
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $3.98 / $7.24	Professional		$3.02	$3.98	$7.24
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.07 / $5.62 / $9.77	Professional		$4.07	$5.62	$9.77
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.89 / $5.13 / $5.89	Professional		$3.89	$5.13	$5.89

Texas rates for HCPCS 96127