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 $162.18 / $269.15 / $4,265.80	Facility	$162.18	$269.15	$4,265.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $275.42	Professional	$162.18	$162.18	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $162.18 / $194.98	Professional	$147.91	$162.18	$194.98
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $1,122.02 / $14,454.40	Facility	$371.54	$1,122.02	$14,454.40
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Professional	$186.21	$186.21	$186.21
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $524.81 / $7,943.28	Facility	$213.80	$524.81	$7,943.28
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $229.09 / $457.09	Professional	$147.91	$229.09	$457.09
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $2,137.96	Facility	$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $338.84 / $912.01	Facility	$158.49	$338.84	$912.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	$134.90	$134.90	$134.90
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility	$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,412.54 / $1,412.54	Professional	$1,412.54	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $165.96 / $416.87	Facility	$162.18	$165.96	$416.87
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $204.17	Professional	$162.18	$162.18	$204.17
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $158.49	Professional	$134.90	$134.90	$158.49
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $239.88 / $501.19	Professional	$0.60	$239.88	$501.19
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $426.58	Facility	$162.18	$169.82	$426.58
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $162.18	Professional	$134.90	$134.90	$162.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $269.15	Facility	$134.90	$162.18	$269.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $169.82 / $181.97	Professional	$154.88	$169.82	$181.97
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $204.17	Professional	$134.90	$162.18	$204.17

Texas rates for HCPCS Q5111