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 $52.48 / $81.28 / $426.58	Facility		$52.48	$81.28	$426.58
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $74.13 / $281.84 / $645.65	Facility	25	$74.13	$281.84	$645.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $81.28 / $173.78	Professional		$52.48	$81.28	$173.78
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $52.48 / $87.10 / $190.55	Professional	25	$52.48	$87.10	$190.55
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $257.04 / $269.15	Professional	50	$38.02	$257.04	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $79.43 / $109.65	Professional		$53.70	$79.43	$109.65
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $60.26 / $87.10 / $112.20	Professional	25	$60.26	$87.10	$112.20
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	50	$95.50	$95.50	$95.50
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $56.23 / $112.20	Facility		$52.48	$56.23	$112.20
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $81.28	Professional		$42.66	$60.26	$81.28
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $93.33 / $147.91	Facility		$66.07	$93.33	$147.91
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $95.50 / $165.96	Professional		$60.26	$95.50	$165.96
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $61.66 / $93.33	Facility		$56.23	$61.66	$93.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $165.96 / $234.42	Facility		$102.33	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $79.43 / $138.04	Professional		$52.48	$79.43	$138.04
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $630.96 / $630.96	Facility		$66.07	$630.96	$630.96
Lucent Health Facility/Professional Facility Modifier 62 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility	62	$257.04	$257.04	$257.04
Lucent Health Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	AS	$41.69	$41.69	$41.69
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $107.15 / $562.34	Professional		$66.07	$107.15	$562.34
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $141.25	Facility		$50.12	$77.62	$141.25
Moda Health Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $74.13 / $269.15 / $630.96	Facility	25	$74.13	$269.15	$630.96
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $72.44 / $128.82	Professional		$52.48	$72.44	$128.82
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $51.29 / $87.10 / $186.21	Professional	25	$51.29	$87.10	$186.21
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $131.83 / $269.15	Professional	50	$38.02	$131.83	$269.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $32.36 / $39.81	Professional		$20.42	$32.36	$39.81
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $346.74	Facility		$77.62	$102.33	$346.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $128.82 / $338.84	Professional		$60.26	$128.82	$338.84
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $141.25	Facility		$50.12	$77.62	$141.25
Providence Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	22	$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier 62 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	62	$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $8.13 / $8.13 / $8.13	Facility	AS	$8.13	$8.13	$8.13
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $81.28 / $158.49	Professional		$53.70	$81.28	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $63.10 / $138.04	Facility		$39.81	$63.10	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $69.18 / $112.20	Professional		$44.67	$69.18	$112.20
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $60.26 / $89.13 / $114.82	Professional	25	$60.26	$89.13	$114.82
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $95.50 / $114.82	Professional		$34.67	$95.50	$114.82

Texas rates for HCPCS 99213