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 $891.25 / $3,467.37 / $11,220.18	Facility	$891.25	$3,467.37	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $331.13 / $794.33	Professional	$269.15	$331.13	$794.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $257.04 / $524.81	Professional	$251.19	$257.04	$524.81
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,677.35 / $9,120.11	Facility	$2,630.27	$4,677.35	$9,120.11
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $323.59 / $446.68	Professional	$257.04	$323.59	$446.68
Baylor Scott & White Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $3,801.89 / $7,585.78	Facility	$489.78	$3,801.89	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $616.60	Professional	$562.34	$562.34	$616.60
Christus Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $2,691.53 / $2,691.53	Facility	$251.19	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,398.83 / $2,398.83 / $2,398.83	Facility	$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $389.05 / $645.65	Professional	$295.12	$389.05	$645.65
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,772.37 / $45,708.82 / $45,708.82	Facility	$9,772.37	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,467.37 / $3,467.37 / $3,467.37	Professional	$3,467.37	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $707.95 / $5,623.41	Facility	$281.84	$707.95	$5,623.41
Moda Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $380.19 / $691.83	Professional	$275.42	$380.19	$691.83
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 $5.01 / $602.56 / $794.33	Professional	$5.01	$602.56	$794.33
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $380.19 / $676.08	Facility	$269.15	$380.19	$676.08
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $389.05 / $602.56	Professional	$288.40	$389.05	$602.56
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 $239.88 / $331.13 / $512.86	Professional	$239.88	$331.13	$512.86
Wellpoint Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $263.03 / $263.03	Professional	$245.47	$263.03	$263.03

Texas rates for HCPCS 52235