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 $95.50 / $95.50 / $109.65	Facility		$95.50	$95.50	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $302.00	Professional		$120.23	$162.18	$302.00
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $186.21 / $263.03	Professional	25	$114.82	$186.21	$263.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $186.21	Professional		$131.83	$154.88	$186.21
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $50.12 / $154.88 / $154.88	Professional	25	$50.12	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $138.04 / $138.04	Professional		$117.49	$138.04	$138.04
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $199.53 / $331.13	Professional		$151.36	$199.53	$331.13
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $169.82	Facility		$162.18	$162.18	$169.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,348.96 / $1,348.96	Professional		$1,047.13	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $190.55 / $338.84	Facility		$131.83	$190.55	$338.84
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $165.96 / $309.03	Professional		$117.49	$165.96	$309.03
Moda Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $186.21 / $263.03	Professional	25	$114.82	$186.21	$263.03
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $323.59 / $645.65	Professional		$169.82	$323.59	$645.65
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $190.55 / $338.84	Facility		$131.83	$190.55	$338.84
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $194.98	Professional		$141.25	$141.25	$194.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $158.49 / $223.87	Facility		$138.04	$158.49	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $181.97 / $281.84	Professional		$138.04	$181.97	$281.84
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $208.93	Professional		$138.04	$177.83	$208.93

Texas rates for HCPCS G0438