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 $104.71 / $151.36 / $426.58	Facility		$104.71	$151.36	$426.58
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $229.09 / $346.74 / $891.25	Facility	25	$229.09	$346.74	$891.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $165.96 / $363.08	Professional		$104.71	$165.96	$363.08
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $117.49 / $194.98 / $457.09	Professional	25	$117.49	$194.98	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $162.18 / $213.80	Professional		$114.82	$162.18	$213.80
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $169.82 / $213.80	Professional	25	$114.82	$169.82	$213.80
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $144.54 / $489.78	Facility		$114.82	$144.54	$489.78
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $128.82 / $162.18	Professional		$107.15	$128.82	$162.18
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $275.42	Facility		$218.78	$218.78	$275.42
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $177.83 / $309.03	Professional		$123.03	$177.83	$309.03
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $134.90 / $173.78	Facility		$114.82	$134.90	$173.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $234.42	Facility		$125.89	$169.82	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $281.84	Professional		$128.82	$173.78	$281.84
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $831.76 / $831.76	Facility		$169.82	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $1,047.13	Professional		$154.88	$194.98	$1,047.13
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $173.78 / $295.12	Facility		$109.65	$173.78	$295.12
Moda Health Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $229.09 / $323.59 / $891.25	Facility	25	$229.09	$323.59	$891.25
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $147.91 / $263.03	Professional		$107.15	$147.91	$263.03
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $117.49 / $194.98 / $436.52	Professional	25	$117.49	$194.98	$436.52
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $53.70 / $95.50	Professional		$32.36	$53.70	$95.50
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $288.40 / $380.19	Facility		$147.91	$288.40	$380.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $269.15 / $645.65	Professional		$123.03	$269.15	$645.65
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $295.12	Facility		$112.20	$173.78	$295.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $323.59	Professional		$125.89	$173.78	$323.59
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $208.93	Facility		$100.00	$134.90	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $154.88 / $251.19	Professional		$104.71	$154.88	$251.19
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $89.13 / $213.80	Professional	25	$70.79	$89.13	$213.80
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $194.98	Professional		$128.82	$173.78	$194.98

Texas rates for HCPCS 99204