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 $16.22 / $33.11 / $36.31	Facility	$16.22	$33.11	$36.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $43.65 / $95.50	Professional	$30.90	$43.65	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $39.81 / $72.44	Professional	$27.54	$39.81	$72.44
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $58.88 / $141.25	Facility	$40.74	$58.88	$141.25
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	$42.66	$42.66	$42.66
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $39.81 / $53.70	Professional	$28.84	$39.81	$53.70
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Facility	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	$21.38	$21.38	$21.38
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $316.23	Facility	$295.12	$295.12	$316.23
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $758.58	Professional	$398.11	$398.11	$758.58
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $147.91	Facility	$33.11	$52.48	$147.91
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $72.44	Professional	$30.90	$38.90	$72.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $79.43 / $194.98	Professional	$69.18	$79.43	$194.98
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $147.91	Facility	$33.11	$52.48	$147.91
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $23.44 / $35.48	Facility	$16.60	$23.44	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $23.44 / $35.48	Professional	$18.20	$23.44	$35.48
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $52.48 / $52.48	Professional	$46.77	$52.48	$52.48

Texas rates for HCPCS Q4038