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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $18.20 / $19.95	Facility	$14.45	$18.20	$19.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $18.20 / $45.71	Professional	$12.02	$18.20	$45.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $23.99 / $47.86	Professional	$15.49	$23.99	$47.86
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,162.28 / $3,388.44 / $4,168.69	Facility	$3,162.28	$3,388.44	$4,168.69
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Professional	$13.80	$13.80	$13.80
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $29.51	Facility	$19.95	$19.95	$29.51
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $41.69	Facility	$22.39	$22.39	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $12.59	Professional	$12.59	$12.59	$12.59
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Facility	$125.89	$125.89	$125.89
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $208.93 / $208.93	Professional	$151.36	$208.93	$208.93
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $23.44 / $38.90	Facility	$14.13	$23.44	$38.90
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $18.20 / $37.15	Professional	$12.88	$18.20	$37.15
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $81.28	Professional	$19.05	$19.05	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Professional	$8.91	$8.91	$8.91
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $22.91 / $39.81	Facility	$14.13	$22.91	$39.81
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $16.98	Professional	$12.59	$12.59	$16.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $12.88 / $19.05	Facility	$9.55	$12.88	$19.05
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $15.85 / $18.20	Professional	$10.72	$15.85	$18.20
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $29.51 / $29.51	Professional	$12.59	$29.51	$29.51

Texas rates for HCPCS A4561