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 $63.10 / $70.79 / $134.90	Facility		$63.10	$70.79	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $75.86 / $144.54	Professional		$60.26	$75.86	$144.54
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $60.26 / $77.62 / $194.98	Professional	25	$60.26	$77.62	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $72.44 / $97.72	Professional		$56.23	$72.44	$97.72
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $56.23 / $72.44 / $123.03	Professional	25	$56.23	$72.44	$123.03
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $199.53 / $389.05	Facility		$87.10	$199.53	$389.05
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $79.43	Professional		$57.54	$67.61	$79.43
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $93.33 / $158.49	Professional		$69.18	$93.33	$158.49
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $85.11	Facility		$64.57	$79.43	$85.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $95.50 / $173.78	Professional		$67.61	$95.50	$173.78
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $100.00 / $524.81	Professional		$81.28	$100.00	$524.81
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $154.88	Facility		$63.10	$87.10	$154.88
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $77.62 / $144.54	Professional		$60.26	$77.62	$144.54
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $60.26 / $77.62 / $181.97	Professional	25	$60.26	$77.62	$181.97
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $134.90 / $239.88	Professional		$69.18	$134.90	$239.88
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $154.88	Facility		$63.10	$87.10	$154.88
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $95.50 / $186.21	Professional		$67.61	$95.50	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $95.50 / $154.88	Facility		$64.57	$95.50	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $89.13 / $138.04	Professional		$64.57	$89.13	$138.04
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $83.18 / $87.10 / $100.00	Professional	25	$83.18	$87.10	$100.00
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $104.71	Professional		$61.66	$89.13	$104.71

Texas rates for HCPCS 99497