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 $54.95 / $112.20 / $223.87	Facility	$54.95	$112.20	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional	$54.95	$54.95	$70.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $263.03 / $478.63	Facility	$102.33	$263.03	$478.63
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	$83.18	$83.18	$83.18
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $79.43 / $112.20	Professional	$54.95	$79.43	$112.20
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $79.43	Facility	$54.95	$54.95	$79.43
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $134.90 / $380.19	Facility	$67.61	$134.90	$380.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	$56.23	$56.23	$56.23
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Facility	$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $295.12 / $295.12	Professional	$275.42	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $57.54 / $112.20	Facility	$54.95	$57.54	$112.20
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $70.79	Professional	$54.95	$54.95	$70.79
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $77.62 / $87.10	Professional	$72.44	$77.62	$87.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $97.72 / $120.23	Professional	$0.60	$97.72	$120.23
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $57.54 / $117.49	Facility	$54.95	$57.54	$117.49
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $75.86	Professional	$56.23	$56.23	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $74.13 / $123.03	Facility	$56.23	$74.13	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $58.88 / $77.62	Professional	$54.95	$58.88	$77.62
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $54.95 / $69.18	Professional	$50.12	$54.95	$69.18

Texas rates for HCPCS Q5113