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 $575.44 / $2,454.71 / $6,918.31	Facility	$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $501.19 / $794.33	Professional	$416.87	$501.19	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Professional	$575.44	$575.44	$575.44
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $363.08 / $794.33	Facility	$208.93	$363.08	$794.33
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $537.03 / $741.31	Professional	$426.58	$537.03	$741.31
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $436.52 / $436.52	Facility	$79.43	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $776.25 / $776.25	Facility	$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $602.56 / $954.99	Professional	$446.68	$602.56	$954.99
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $19,498.45 / $19,498.45	Facility	$2,884.03	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,630.78 / $4,265.80 / $4,265.80	Professional	$3,630.78	$4,265.80	$4,265.80
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $630.96 / $2,290.87	Facility	$457.09	$630.96	$2,290.87
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $630.96 / $1,000.00	Professional	$426.58	$630.96	$1,000.00
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $371.54 / $457.09	Professional	$32.36	$371.54	$457.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $1,698.24 / $2,041.74	Professional	$562.34	$1,698.24	$2,041.74
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $588.84 / $1,000.00	Facility	$446.68	$588.84	$1,000.00
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $602.56 / $954.99	Professional	$446.68	$602.56	$954.99
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $851.14 / $2,290.87	Facility	$173.78	$851.14	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $489.78 / $741.31	Professional	$371.54	$489.78	$741.31
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $537.03 / $549.54	Professional	$512.86	$537.03	$549.54

Texas rates for HCPCS 27538