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 $79.43 / $112.20 / $380.19	Facility		$79.43	$112.20	$380.19
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $91.20 / $363.08 / $794.33	Facility	25	$91.20	$363.08	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $112.20 / $257.04	Professional		$64.57	$112.20	$257.04
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $61.66 / $123.03 / $295.12	Professional	25	$61.66	$123.03	$295.12
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $95.50 / $234.42	Professional	50	$91.20	$95.50	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $158.49	Professional		$77.62	$112.20	$158.49
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $85.11 / $125.89 / $162.18	Professional	25	$85.11	$125.89	$162.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $269.15	Facility		$79.43	$79.43	$269.15
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $120.23	Professional		$66.07	$89.13	$120.23
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $97.72 / $213.80	Facility		$81.28	$97.72	$213.80
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $223.87	Professional		$89.13	$134.90	$223.87
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $104.71 / $131.83	Facility		$83.18	$104.71	$131.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $165.96 / $234.42	Facility		$109.65	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $117.49 / $199.53	Professional		$79.43	$117.49	$199.53
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $630.96 / $630.96	Facility		$102.33	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $151.36 / $794.33	Professional		$102.33	$151.36	$794.33
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $204.17	Facility		$75.86	$114.82	$204.17
Moda Health Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $91.20 / $346.74 / $776.25	Facility	25	$91.20	$346.74	$776.25
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $102.33 / $190.55	Professional		$75.86	$102.33	$190.55
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $63.10 / $123.03 / $281.84	Professional	25	$63.10	$123.03	$281.84
Moda Health Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $154.88 / $234.42	Professional	50	$91.20	$154.88	$234.42
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $33.11 / $56.23	Professional		$29.51	$33.11	$56.23
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $144.54 / $338.84	Facility		$93.33	$144.54	$338.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $190.55 / $489.78	Professional		$89.13	$190.55	$489.78
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $117.49 / $199.53	Facility		$75.86	$117.49	$199.53
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $223.87	Professional		$81.28	$120.23	$223.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $83.18 / $158.49	Facility		$60.26	$83.18	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $100.00 / $162.18	Professional		$67.61	$100.00	$162.18
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $89.13 / $158.49	Professional	25	$70.79	$89.13	$158.49
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $131.83 / $147.91	Professional		$51.29	$131.83	$147.91

Texas rates for HCPCS 99214