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 $23.44 / $125.89 / $407.38	Facility		$23.44	$125.89	$407.38
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $40.74 / $85.11 / $398.11	Facility	CO	$40.74	$85.11	$398.11
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $30.90 / $93.33 / $398.11	Facility	CQ	$30.90	$93.33	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $32.36 / $89.13	Professional		$17.78	$32.36	$89.13
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $5.75 / $33.11 / $104.71	Professional	CO	$5.75	$33.11	$104.71
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $30.20 / $39.81 / $89.13	Professional	CQ	$30.20	$39.81	$89.13
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.05 / $26.92 / $43.65	Professional	CQ	$19.05	$26.92	$43.65
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $100.00 / $199.53	Facility		$40.74	$100.00	$199.53
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $28.84 / $28.84	Professional		$25.70	$28.84	$28.84
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $54.95 / $123.03	Facility		$34.67	$54.95	$123.03
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $41.69 / $63.10	Professional		$33.88	$41.69	$63.10
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $50.12 / $50.12	Facility		$33.88	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $85.11	Facility		$54.95	$64.57	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $30.20 / $54.95	Professional		$22.39	$30.20	$54.95
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $234.42 / $234.42	Facility		$36.31	$234.42	$234.42
Lucent Health Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	CO	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	CQ	$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $50.12 / $295.12	Professional		$33.88	$50.12	$295.12
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $36.31 / $112.20	Facility		$22.91	$36.31	$112.20
Moda Health Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $40.74 / $234.42 / $645.65	Facility	CO	$40.74	$234.42	$645.65
Moda Health Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $30.90 / $83.18 / $371.54	Facility	CQ	$30.90	$83.18	$371.54
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $31.62 / $67.61	Professional		$17.78	$31.62	$67.61
Moda Health Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $5.75 / $28.84 / $33.11	Professional	CO	$5.75	$28.84	$33.11
Moda Health Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $30.20 / $46.77 / $87.10	Professional	CQ	$30.20	$46.77	$87.10
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.11 / $33.88	Professional		$26.92	$33.11	$33.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $128.82	Professional		$33.11	$45.71	$128.82
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $36.31 / $64.57	Facility		$23.99	$36.31	$64.57
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $29.51 / $54.95	Professional		$22.39	$29.51	$54.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $51.29	Facility		$28.18	$33.11	$51.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $34.67 / $43.65	Professional		$26.92	$34.67	$43.65
United Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	CO	$63.10	$63.10	$63.10
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $35.48 / $35.48	Professional		$33.88	$35.48	$35.48

Texas rates for HCPCS 97530