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 $18.62 / $93.33 / $281.84	Facility		$18.62	$93.33	$281.84
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $45.71 / $91.20 / $389.05	Facility	CQ	$45.71	$91.20	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $20.89 / $41.69	Professional		$14.45	$20.89	$41.69
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $18.62 / $21.88 / $46.77	Professional	CQ	$18.62	$21.88	$46.77
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $75.86 / $151.36	Facility		$30.90	$75.86	$151.36
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $23.99 / $23.99	Professional		$21.38	$23.99	$23.99
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.84 / $33.11	Facility		$28.18	$28.84	$33.11
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $56.23	Professional		$25.70	$34.67	$56.23
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $29.51 / $29.51	Facility		$28.18	$29.51	$29.51
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 $17.38 / $23.99 / $43.65	Professional		$17.38	$23.99	$43.65
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $186.21 / $186.21	Facility		$30.20	$186.21	$186.21
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	CQ	$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $46.77 / $239.88	Professional		$29.51	$46.77	$239.88
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $28.84 / $69.18	Facility		$18.20	$28.84	$69.18
Moda Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $41.69 / $91.20 / $389.05	Facility	CQ	$41.69	$91.20	$389.05
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $23.99 / $52.48	Professional		$14.13	$23.99	$52.48
Moda Health Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.05 / $21.88 / $70.79	Professional	CQ	$19.05	$21.88	$70.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $218.78 / $234.42	Facility		$123.03	$218.78	$234.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.02 / $107.15	Professional		$27.54	$38.02	$107.15
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $29.51 / $54.95	Facility		$19.05	$29.51	$54.95
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $23.44 / $44.67	Professional		$17.78	$23.44	$44.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $26.30 / $42.66	Facility		$23.44	$26.30	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $26.30 / $33.88	Professional		$21.88	$26.30	$33.88
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $29.51 / $29.51	Professional		$28.18	$29.51	$29.51

Texas rates for HCPCS 97116