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 $1,000.00 / $3,890.45 / $12,882.50	Facility	$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $794.33 / $1,258.93	Professional	$691.83	$794.33	$1,258.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Professional	$645.65	$645.65	$645.65
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $7,413.10 / $14,791.08	Facility	$3,715.35	$7,413.10	$14,791.08
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $794.33 / $1,148.15	Professional	$660.69	$794.33	$1,148.15
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,370.32 / $5,370.32 / $7,762.47	Facility	$5,370.32	$5,370.32	$7,762.47
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $676.08 / $707.95	Facility	$676.08	$676.08	$707.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $3,801.89 / $4,365.16	Facility	$1,230.27	$3,801.89	$4,365.16
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $912.01 / $1,548.82	Professional	$575.44	$912.01	$1,548.82
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16,982.44 / $42,657.95 / $42,657.95	Facility	$16,982.44	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6,918.31 / $6,918.31 / $6,918.31	Professional	$6,918.31	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $1,000.00 / $2,818.38	Facility	$691.83	$1,000.00	$2,818.38
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $831.76 / $1,445.44	Professional	$691.83	$831.76	$1,445.44
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $724.44	Professional	$32.36	$33.11	$724.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $1,513.56 / $1,949.84	Professional	$6.03	$1,513.56	$1,949.84
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $954.99 / $1,698.24	Facility	$691.83	$954.99	$1,698.24
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $933.25 / $1,698.24	Professional	$575.44	$933.25	$1,698.24
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $5,888.44 / $11,481.54	Facility	$2,187.76	$5,888.44	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $812.83 / $1,258.93	Professional	$602.56	$812.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $707.95 / $831.76	Professional	$575.44	$707.95	$831.76

Texas rates for HCPCS 42235