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 $7.41 / $60.26 / $288.40	Facility		$7.41	$60.26	$288.40
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $61.66 / $104.71 / $724.44	Facility	CQ	$61.66	$104.71	$724.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $10.47 / $18.62	Professional		$7.08	$10.47	$18.62
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.59 / $26.92 / $31.62	Professional	CQ	$7.59	$26.92	$31.62
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $35.48 / $69.18	Facility		$14.13	$35.48	$69.18
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $9.77 / $9.77	Professional		$8.71	$9.77	$9.77
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $15.14 / $34.67	Professional		$11.75	$15.14	$34.67
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $75.86	Facility		$54.95	$64.57	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $12.30 / $24.55	Professional		$8.32	$12.30	$24.55
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $79.43 / $100.00	Facility		$17.38	$79.43	$100.00
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility	CQ	$63.10	$63.10	$63.10
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $70.79 / $97.72	Professional		$12.02	$70.79	$97.72
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $13.80 / $33.11	Facility		$7.59	$13.80	$33.11
Moda Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $61.66 / $95.50 / $724.44	Facility	CQ	$61.66	$95.50	$724.44
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $12.88 / $22.39	Professional		$7.08	$12.88	$22.39
Moda Health Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.59 / $22.91 / $30.20	Professional	CQ	$7.59	$22.91	$30.20
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $32.36 / $33.11	Professional		$15.85	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $15.85 / $44.67	Professional		$11.48	$15.85	$44.67
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $14.13 / $29.51	Facility		$7.94	$14.13	$29.51
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $12.30 / $25.70	Professional		$8.32	$12.30	$25.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $12.88 / $17.38	Facility		$9.55	$12.88	$17.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $12.02 / $12.02	Professional		$11.75	$12.02	$12.02

Texas rates for HCPCS 97016