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 $616.60 / $1,862.09 / $5,495.41	Facility		$616.60	$1,862.09	$5,495.41
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $912.01 / $1,862.09 / $4,786.30	Facility	50	$912.01	$1,862.09	$4,786.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $457.09 / $912.01	Professional		$288.40	$457.09	$912.01
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $251.19 / $416.87	Professional		$208.93	$251.19	$416.87
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $4,897.79 / $9,772.37	Facility		$2,570.40	$4,897.79	$9,772.37
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $501.19 / $691.83	Professional		$407.38	$501.19	$691.83
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $4,265.80 / $12,589.25	Facility		$426.58	$4,265.80	$12,589.25
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $524.81 / $724.44	Professional		$436.52	$524.81	$724.44
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $5,370.32 / $5,370.32	Facility		$416.87	$5,370.32	$5,370.32
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $575.44 / $912.01	Professional		$446.68	$575.44	$912.01
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,311.31 / $3,801.89 / $3,801.89	Professional		$3,311.31	$3,801.89	$3,801.89
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $977.24 / $4,786.30	Facility		$436.52	$977.24	$4,786.30
Moda Health Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,513.56 / $1,862.09 / $6,025.60	Facility	50	$1,513.56	$1,862.09	$6,025.60
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $602.56 / $954.99	Professional		$398.11	$602.56	$954.99
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $851.14 / $1,548.82	Professional		$416.87	$851.14	$1,548.82
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $524.81 / $954.99	Facility		$416.87	$524.81	$954.99
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $575.44 / $912.01	Professional		$446.68	$575.44	$912.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $3,630.78 / $7,244.36	Facility		$1,445.44	$3,630.78	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $478.63 / $741.31	Professional		$346.74	$478.63	$741.31
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $446.68 / $446.68	Professional		$416.87	$446.68	$446.68

Texas rates for HCPCS 38525