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 $10.00 / $12.02 / $24.55	Facility		$10.00	$12.02	$24.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.88 / $26.30	Professional		$10.00	$12.88	$26.30
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	25	$21.38	$21.38	$21.38
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $15.14 / $18.20	Professional		$12.59	$15.14	$18.20
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $13.18 / $33.11	Facility		$8.32	$13.18	$33.11
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $12.59 / $15.49	Professional		$10.23	$12.59	$15.49
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $16.22 / $23.99	Professional		$12.30	$16.22	$23.99
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $14.79 / $15.49	Facility		$10.96	$14.79	$15.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $18.20 / $31.62	Professional		$13.18	$18.20	$31.62
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $14.79 / $25.12	Facility		$10.47	$14.79	$25.12
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.80 / $25.70	Professional		$10.00	$13.80	$25.70
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	25	$21.38	$21.38	$21.38
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $23.99 / $41.69	Professional		$11.75	$23.99	$41.69
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $14.79 / $25.12	Facility		$10.47	$14.79	$25.12
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $19.05 / $34.67	Professional		$13.18	$19.05	$34.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $15.14 / $20.42	Facility		$10.96	$15.14	$20.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $15.49 / $23.99	Professional		$11.22	$15.49	$23.99
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $15.85 / $19.05	Professional		$10.47	$15.85	$19.05

Texas rates for HCPCS 99421